Healthcare Provider Details

I. General information

NPI: 1609382456
Provider Name (Legal Business Name): BETHANY NEUMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2017
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8005 SACRAMENTO ST
FAIR OAKS CA
95628-7526
US

IV. Provider business mailing address

8005 SACRAMENTO ST
FAIR OAKS CA
95628-7526
US

V. Phone/Fax

Practice location:
  • Phone: 916-887-6894
  • Fax:
Mailing address:
  • Phone: 916-877-6894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: