Provider Demographics
NPI:1801106513
Name:NEUMANN, COLLEEN MARGARET (PSYD)
Entity type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:MARGARET
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 ELDEN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4852
Mailing Address - Country:US
Mailing Address - Phone:703-569-4796
Mailing Address - Fax:703-435-6747
Practice Address - Street 1:209 ELDEN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4852
Practice Address - Country:US
Practice Address - Phone:703-569-4796
Practice Address - Fax:703-435-6747
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004317103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical