Provider Demographics
NPI:1023026424
Name:NEUMANN, GLORIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4024 LONG BRANCH LN
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-4790
Mailing Address - Country:US
Mailing Address - Phone:407-880-4740
Mailing Address - Fax:
Practice Address - Street 1:4024 LONG BRANCH LN
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-4790
Practice Address - Country:US
Practice Address - Phone:407-880-4740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016288103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02646220Medicaid