Provider Demographics
NPI:1609917459
Name:NEUMANN, JULIE L
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 BURNHAM RD
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04038-1903
Mailing Address - Country:US
Mailing Address - Phone:203-605-2111
Mailing Address - Fax:
Practice Address - Street 1:4 FUNDY RD
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1777
Practice Address - Country:US
Practice Address - Phone:207-781-7199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA370700171M00000X
MA738231HA2400X
MEAP2071231HA2400X
ME487142171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner