Provider Demographics
NPI:1053548164
Name:NEWALL, SONDRA KURTZ (LMHC)
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:KURTZ
Last Name:NEWALL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1876 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 101A
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4130
Mailing Address - Country:US
Mailing Address - Phone:954-727-5411
Mailing Address - Fax:
Practice Address - Street 1:1876 N UNIVERSITY DR
Practice Address - Street 2:SUITE 101A
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-4130
Practice Address - Country:US
Practice Address - Phone:954-727-5441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH1767101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health