Provider Demographics
NPI:1821217530
Name:NEUMAN, MARY C (MA)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:C
Last Name:NEUMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7943 E CORONADO RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-2248
Mailing Address - Country:US
Mailing Address - Phone:480-994-5523
Mailing Address - Fax:
Practice Address - Street 1:1350 S 11TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-4537
Practice Address - Country:US
Practice Address - Phone:602-257-3897
Practice Address - Fax:602-257-3952
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1652943103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool