Provider Demographics
NPI:1508984782
Name:NEUMANN, CARLA B (MS)
Entity Type:Individual
Prefix:MS
First Name:CARLA
Middle Name:B
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 FORESTERIA AVE
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8202
Mailing Address - Country:US
Mailing Address - Phone:561-795-2223
Mailing Address - Fax:561-795-1762
Practice Address - Street 1:12773 W FOREST HILL BLVD
Practice Address - Street 2:SUITE 1205
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-4767
Practice Address - Country:US
Practice Address - Phone:561-795-2223
Practice Address - Fax:561-795-1762
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT0001610106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist