Provider Demographics
NPI:1518024470
Name:NEUMANN, MARY ANN (MFT)
Entity Type:Individual
Prefix:
First Name:MARY ANN
Middle Name:
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13525 MIDLAND RD
Mailing Address - Street 2:SUITE J
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4771
Mailing Address - Country:US
Mailing Address - Phone:858-395-0135
Mailing Address - Fax:
Practice Address - Street 1:13525 MIDLAND RD
Practice Address - Street 2:SUITE J
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4771
Practice Address - Country:US
Practice Address - Phone:858-395-0135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC30072106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist