Healthcare Provider Details

I. General information

NPI: 1396060026
Provider Name (Legal Business Name): YVONNE D. NEIMAN M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 04/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1098 WASHINGTON CROSSING RD SUITE 1
WASHINGTON CROSSING PA
18977-1343
US

IV. Provider business mailing address

1098 WASHINGTON CROSSSING ROAD SUITE 1
WASHINGTON CROSSING PA
18977-1343
US

V. Phone/Fax

Practice location:
  • Phone: 215-321-9111
  • Fax: 215-321-1043
Mailing address:
  • Phone: 215-321-9111
  • Fax: 215-321-1043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS004836L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: