MEDICARE: DIANN L NEU

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
1	1041C0700X	Clinical Social Worker	G06360	MD
2	1041C0700X	Clinical Social Worker	LG100957	DC

General Provider Information

NPI Number	:	1669603304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANN L NEU

Provider Business Mailing Address
First Line	:	828 RICHMOND AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4916
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	828 RICHMOND AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4916
Country	:	US
Telephone Number	:	301-589-2509
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2009
Last Update Date	:	07/29/2009

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Directions to “ DIANN L NEU ” Practice Location

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