Provider Demographics
NPI:1417429879
Name:NEUMANN, PAMELA JEWEL (LMHC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:JEWEL
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3103 BLACKISTON MILL RD
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-9536
Mailing Address - Country:US
Mailing Address - Phone:812-590-7160
Mailing Address - Fax:812-590-7160
Practice Address - Street 1:3103 BLACKISTON MILL RD
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-9536
Practice Address - Country:US
Practice Address - Phone:812-590-7160
Practice Address - Fax:812-590-7160
Is Sole Proprietor?:No
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.010968101YP2500X
IN39003328A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional