Provider Demographics
NPI:1639230352
Name:NEWMAN, BECKY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BECKY
Middle Name:
Last Name:NEWMAN
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 1:1200 EL CAMINO REAL
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-3208
Mailing Address - Country:US
Mailing Address - Phone:650-742-3886
Mailing Address - Fax:650-742-2591
Practice Address - Street 1:1200 EL CAMINO REAL
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-3208
Practice Address - Country:US
Practice Address - Phone:650-742-3886
Practice Address - Fax:650-742-2591
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 19807103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical