Provider Demographics
NPI:1003035098
Name:NEWHOUSE, ARTHUR M (MA LLP)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:M
Last Name:NEWHOUSE
Suffix:
Gender:M
Credentials:MA LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2134 AVERILLS CIR
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-8369
Mailing Address - Country:US
Mailing Address - Phone:231-947-6303
Mailing Address - Fax:
Practice Address - Street 1:105 HALL ST
Practice Address - Street 2:SUITE A
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-2288
Practice Address - Country:US
Practice Address - Phone:231-922-4850
Practice Address - Fax:231-935-3856
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301002605103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist