Provider Demographics
NPI:1407549694
Name:NEIMAN-KIMEL, DR. JAYME (PHD, ABPDN)
Entity Type:Individual
Prefix:
First Name:DR. JAYME
Middle Name:
Last Name:NEIMAN-KIMEL
Suffix:
Gender:F
Credentials:PHD, ABPDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 GAYLEY AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-3426
Mailing Address - Country:US
Mailing Address - Phone:310-209-4994
Mailing Address - Fax:
Practice Address - Street 1:1033 GAYLEY AVE STE 208
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-3426
Practice Address - Country:US
Practice Address - Phone:310-209-4994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-01
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13005103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist