Healthcare Provider Details

I. General information

NPI: 1588596209
Provider Name (Legal Business Name): LISA NICOLE NEUMEYER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA VITTORIO

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 OLENTANGY RIVER RD FL 3
COLUMBUS OH
43214-3464
US

IV. Provider business mailing address

3650 OLENTANGY RIVER RD FL 3
COLUMBUS OH
43214-3464
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-9600
  • Fax:
Mailing address:
  • Phone: 614-293-9600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberP.08927
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: