Provider Demographics
NPI:1669651642
Name:NEWMAN, VINCENT (MA, MED, PHD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MA, MED, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 580225
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77258-0225
Mailing Address - Country:US
Mailing Address - Phone:915-346-5632
Mailing Address - Fax:
Practice Address - Street 1:18333 EGRET BAY BLVD STE 160
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3240
Practice Address - Country:US
Practice Address - Phone:281-488-7792
Practice Address - Fax:281-549-6627
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional