Healthcare Provider Details

I. General information

NPI: 1902548779
Provider Name (Legal Business Name): MS. MEGAN NEUMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 04/11/2022
Certification Date: 04/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20611 EUCLID AVE
EUCLID OH
44117-1521
US

IV. Provider business mailing address

51 CHERRYWOOD CIR
GENEVA OH
44041-9189
US

V. Phone/Fax

Practice location:
  • Phone: 216-859-2727
  • Fax:
Mailing address:
  • Phone: 440-862-0412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: