Provider Demographics
NPI:1760762900
Name:NEWMAN, PAMELA PITTS (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:PITTS
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 BRES AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5915
Mailing Address - Country:US
Mailing Address - Phone:318-322-0037
Mailing Address - Fax:318-398-1680
Practice Address - Street 1:511 BRES AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5915
Practice Address - Country:US
Practice Address - Phone:318-322-0037
Practice Address - Fax:318-398-1680
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC#833101YM0800X
LALMFT#539106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist