| NPI | 1033270210 |
|---|---|
| Other Name | TERESA IRENE NEWSOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 592) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 1302) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |