Provider Demographics
NPI:1821047697
Name:NEUMANN, MICHELE LYNN (MD)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:LYNN
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:LYNN
Other - Last Name:DENEYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 174
Mailing Address - Street 2:
Mailing Address - City:LINCOLNVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04849
Mailing Address - Country:US
Mailing Address - Phone:617-850-2530
Mailing Address - Fax:617-965-0450
Practice Address - Street 1:32 UNION ST
Practice Address - Street 2:SUITE 4
Practice Address - City:NEWTON CENTRE
Practice Address - State:MA
Practice Address - Zip Code:02459
Practice Address - Country:US
Practice Address - Phone:617-850-2530
Practice Address - Fax:617-965-0450
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI477952084P0800X
MA2284852084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry