Provider Demographics
NPI:1568730562
Name:NEWTON, ROSALYN NICOL (PSYD)
Entity Type:Individual
Prefix:MS
First Name:ROSALYN
Middle Name:NICOL
Last Name:NEWTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 W NEW HOPE RD
Mailing Address - Street 2:APT B4
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-7560
Mailing Address - Country:US
Mailing Address - Phone:828-291-0880
Mailing Address - Fax:
Practice Address - Street 1:550 W NEW HOPE RD
Practice Address - Street 2:APT B4
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-7560
Practice Address - Country:US
Practice Address - Phone:828-291-0880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3992103T00000X
VA0810004427103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist