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NPI Code Detail

MEDICARE: JANAE NEUMEIER

MEDICARE: JANAE NEUMEIER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist323301BWA

General Provider Information

NPI Number : 1639620461
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANAE NEUMEIER
Provider Business Mailing Address
First Line : 1320 178TH AVE E
Second Line :
City : LAKE TAPPS
State : WA
Zip : 98391-6411
Country : US
Telephone Number : 253-862-2537
Fax Number : 253-862-8472
Provider Business Practice Location Address
First Line : 1320 178TH AVE E
Second Line :
City : LAKE TAPPS
State : WA
Zip : 98391-6411
Country : US
Telephone Number : 253-862-2537
Fax Number : 253-862-8472
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2016
Last Update Date : 10/17/2016

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Directions to “ JANAE NEUMEIER ” Practice Location

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