Provider Demographics
NPI:1639567266
Name:NEWMAN, RACHEL LEIGH (MED)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LEIGH
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4078 SILSBY RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3324
Mailing Address - Country:US
Mailing Address - Phone:216-371-5599
Mailing Address - Fax:
Practice Address - Street 1:34041 STEVENS BLVD
Practice Address - Street 2:
Practice Address - City:EASTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44095-2905
Practice Address - Country:US
Practice Address - Phone:440-975-3697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH1371679103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool