Provider Demographics
NPI:1205139417
Name:NEWKAM, DANIELLE BUDASH (PSY D)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:BUDASH
Last Name:NEWKAM
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1676 SAND HILL RD
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2649
Mailing Address - Country:US
Mailing Address - Phone:304-670-2076
Mailing Address - Fax:
Practice Address - Street 1:1371 SAND HILL RD
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-9791
Practice Address - Country:US
Practice Address - Phone:717-220-4808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-09
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 8185103TC0700X
PAPS017339103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical