Healthcare Provider Details

I. General information

NPI: 1922255942
Provider Name (Legal Business Name): STEPHANIE NEUMANN BESE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. STEPHANIE NEUMANN

II. Dates (important events)

Enumeration Date: 08/20/2008
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 E SHAW AVE STE 150
FRESNO CA
93710-7915
US

IV. Provider business mailing address

PO BOX 1501
CHOWCHILLA CA
93610-1501
US

V. Phone/Fax

Practice location:
  • Phone: 559-718-1910
  • Fax:
Mailing address:
  • Phone: 559-665-5531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY21550
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY21550
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: