Provider Demographics
NPI:1427416106
Name:NEUMANN, ROY JOHN (MS, LPCC)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:JOHN
Last Name:NEUMANN
Suffix:
Gender:M
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 192
Mailing Address - Street 2:415 NORTH MAIN
Mailing Address - City:WAHKON
Mailing Address - State:MN
Mailing Address - Zip Code:56386-0192
Mailing Address - Country:US
Mailing Address - Phone:320-407-3056
Mailing Address - Fax:
Practice Address - Street 1:1906 5TH AVE SE
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-3317
Practice Address - Country:US
Practice Address - Phone:320-632-6647
Practice Address - Fax:320-632-9525
Is Sole Proprietor?:No
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC01160101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health