Provider Demographics
NPI:1457665655
Name:NEUMAN, JUDITH EVE (MS)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:EVE
Last Name:NEUMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137-23 71ST AVENUE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1938
Mailing Address - Country:US
Mailing Address - Phone:718-793-7459
Mailing Address - Fax:718-793-7459
Practice Address - Street 1:137-23 71ST AVENUE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1938
Practice Address - Country:US
Practice Address - Phone:718-793-7459
Practice Address - Fax:718-793-7459
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2152223101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool