Provider Demographics
NPI:1922627850
Name:NEWMAN, LYNN MINNEA (LMFT)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:MINNEA
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LMFT
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 277
Mailing Address - Street 2:
Mailing Address - City:SHASTA
Mailing Address - State:CA
Mailing Address - Zip Code:96087-0277
Mailing Address - Country:US
Mailing Address - Phone:530-524-2559
Mailing Address - Fax:
Practice Address - Street 1:6280 OASIS RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-9701
Practice Address - Country:US
Practice Address - Phone:530-524-2559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT42117106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty