Provider Demographics
NPI:1598312647
Name:NEWMAN, REBECCA ROWLAND
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ROWLAND
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3218 BOULDER CT
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-9396
Mailing Address - Country:US
Mailing Address - Phone:734-740-2717
Mailing Address - Fax:
Practice Address - Street 1:3218 BOULDER CT
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-9396
Practice Address - Country:US
Practice Address - Phone:734-740-2717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician