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Provider Information for 1477930212


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Mrs. TIFFANY NEWMAN MA, LPC


Sex: Female

NPI: 1477930212
Last Updated: 2016-09-12
Certification Date:

Details

NameValue
NPI1477930212
Enumeration Date2015-04-30
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 5021 E TRINDLE RD
FIRST FLOOR
MECHANICSBURG, PA 17050-3528
United States

Phone: 717-590-7607 | Fax:
 
Primary Practice Address 5021 E TRINDLE RD
FIRST FLOOR
MECHANICSBURG, PA 17050-3528
United States

Phone: 717-590-7607 | Fax:717-590-7643
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YA0400X - Counselor - Addiction (Substance Use Disorder)PAPC005663