| Jason R. Newell, Ph.d. | |
|
11110 N Tatum Blvd Ste 103 Phoenix AZ 85028-1607 | |
| (602) 478-0576 | |
| Not Available |
| Full Name | Jason R. Newell, Ph.d. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 11110 N Tatum Blvd Ste 103, Phoenix, Arizona |
| Authorized Official Name and Position | Jason Robert Newell (OWNER) |
| Authorized Official Contact | 6024780576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason R. Newell, Ph.d. 11110 N Tatum Blvd Ste 103 Phoenix AZ 85028-1607 Ph: (602) 478-0576 | Jason R. Newell, Ph.d. 11110 N Tatum Blvd Ste 103 Phoenix AZ 85028-1607 Ph: (602) 478-0576 |
| NPI Number | 1013447127 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013447127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3329 (Arizona) | Primary |
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