Provider Demographics
NPI:1568057701
Name:NEUMAN, BENJAMIN WADE (MSW)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:WADE
Last Name:NEUMAN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18630 NE 5TH TERRACE RD
Mailing Address - Street 2:
Mailing Address - City:CITRA
Mailing Address - State:FL
Mailing Address - Zip Code:32113-2295
Mailing Address - Country:US
Mailing Address - Phone:561-331-0498
Mailing Address - Fax:
Practice Address - Street 1:300 SE 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2169
Practice Address - Country:US
Practice Address - Phone:352-620-3474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health