Provider Demographics
NPI:1457313983
Name:NEUMANN, SERINA A (PHD)
Entity Type:Individual
Prefix:
First Name:SERINA
Middle Name:A
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:PHD
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 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-5888
Mailing Address - Fax:757-446-5918
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 710
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-5888
Practice Address - Fax:757-446-5918
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003626103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherFIRST HEATLH COMMERCIAL
VA010298865Medicaid
VAPAROtherMULTIPLAN
VAPAROtherCORVEL/CORCARE
VAPAROtherCIGNA BEHAVIORAL HEALTH
VA2160215OtherUNITED HEALTH CARE/MAMSI
VA570022OtherVALUE OPTIONS
VA-006OtherTRICARE/CHAMPUS
VA802541MOtherSENTARA / OPTIMA
VAPAROtherAETNA
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherUSA MANAGED CARE
VA384706OtherMANAGED HEALTHE NETWORK
VA195480OtherANTHEM
VAPAROtherCORVEL/CORCARE
VAPAROtherCIGNA BEHAVIORAL HEALTH