1649791757 NPI number — DR. MICHELLE GAYLE NEWMAN PH.D.

Table of content: DR. MICHELLE GAYLE NEWMAN PH.D. (NPI 1649791757)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649791757 NPI number — DR. MICHELLE GAYLE NEWMAN PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NEWMAN
Provider First Name:
MICHELLE
Provider Middle Name:
GAYLE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649791757
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/12/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
314 MOORE BUILDING
Provider Second Line Business Mailing Address:
THE PENNSYLVANIA STATE UNIVERSITY
Provider Business Mailing Address City Name:
UNIVERSITY PARK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16802-3103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-863-1148
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
314 MOORE BLDG
Provider Second Line Business Practice Location Address:
THE PENNSYLVANIA STATE UNIVERSITY
Provider Business Practice Location Address City Name:
UNIVERSITY PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16802-3103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-863-1148
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  PS-008386-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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