Provider Demographics
NPI:1760543979
Name:NEWMAN, STEVEN (PSYD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6050 STETSON HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-3562
Mailing Address - Country:US
Mailing Address - Phone:307-220-9099
Mailing Address - Fax:866-287-5634
Practice Address - Street 1:1259 LAKE PLAZA DR STE 255
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-3504
Practice Address - Country:US
Practice Address - Phone:719-598-3585
Practice Address - Fax:720-358-2674
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY395103TC0700X
COPSY.0005264103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY140299Medicaid
WY140299Medicaid