Provider Demographics
NPI:1295246288
Name:NEWTON, PRISCILLA (LMFT)
Entity type:Individual
Prefix:MS
First Name:PRISCILLA
Middle Name:
Last Name:NEWTON
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 1:1427 CATALINA
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-3154
Mailing Address - Country:US
Mailing Address - Phone:310-383-8420
Mailing Address - Fax:949-715-6730
Practice Address - Street 1:1427 CATALINA
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651
Practice Address - Country:US
Practice Address - Phone:310-383-8420
Practice Address - Fax:949-715-6730
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-17
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102580106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist