Provider Demographics
NPI:1982876991
Name:NEWMAN, ELISA BERTE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELISA
Middle Name:BERTE
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9615 BRIGHTON WAY
Mailing Address - Street 2:SUITE 325
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-273-0262
Mailing Address - Fax:310-550-4516
Practice Address - Street 1:9615 BRIGHTON WAY
Practice Address - Street 2:SUITE 325
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-273-0262
Practice Address - Fax:310-550-4516
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG41748208000000X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry