Healthcare Provider Details

I. General information

NPI: 1194876490
Provider Name (Legal Business Name): JOSEPH KURT NEUMANN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E MAIN ST SUITE 4
JOHNSON CITY TN
37601-4877
US

IV. Provider business mailing address

400 PINE HILL RD
ELIZABETHTON TN
37643-4039
US

V. Phone/Fax

Practice location:
  • Phone: 423-283-4958
  • Fax: 423-283-7135
Mailing address:
  • Phone: 423-543-4640
  • Fax: 423-283-7135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2015
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: