Provider Demographics
NPI:1750454351
Name:NEWMAN, PAULA SANDERS (LCMHCS)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:SANDERS
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LCMHCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4307 LADY SLIPPER LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-6406
Mailing Address - Country:US
Mailing Address - Phone:919-473-9139
Mailing Address - Fax:888-893-4648
Practice Address - Street 1:1921 N POINTE DR STE 207
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2688
Practice Address - Country:US
Practice Address - Phone:919-473-9139
Practice Address - Fax:888-893-4648
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4937101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102910Medicaid
NC20-3465606OtherEIN