Provider Demographics
NPI:1881747418
Name:NEUMAIER, EDITH MARTHA (LPC)
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:MARTHA
Last Name:NEUMAIER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 ROCK CREEK MESA RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80926-9722
Mailing Address - Country:US
Mailing Address - Phone:719-638-4649
Mailing Address - Fax:
Practice Address - Street 1:715 ROCK CREEK MESA RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80926-9722
Practice Address - Country:US
Practice Address - Phone:719-638-4649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3393101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional