Provider Demographics
NPI:1952680647
Name:NEWKIRK, LAWANDA
Entity Type:Individual
Prefix:MS
First Name:LAWANDA
Middle Name:
Last Name:NEWKIRK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 OAK HILL CIR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-4547
Mailing Address - Country:US
Mailing Address - Phone:510-635-7642
Mailing Address - Fax:510-635-7852
Practice Address - Street 1:33 OAK HILL CIR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-4547
Practice Address - Country:US
Practice Address - Phone:510-635-7642
Practice Address - Fax:510-635-7852
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor