Provider Demographics
NPI:1538657663
Name:NEUMEYER, PAIGE ELLISON (LCSW)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:ELLISON
Last Name:NEUMEYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 ROBIN RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3680
Mailing Address - Country:US
Mailing Address - Phone:281-687-9558
Mailing Address - Fax:
Practice Address - Street 1:802 ROBIN RIDGE CIR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-3680
Practice Address - Country:US
Practice Address - Phone:281-687-9558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX285681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty