Provider Demographics
NPI:1396060026
Name:NEIMAN, YVONNE D (MS)
Entity type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:D
Last Name:NEIMAN
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 1:1098 WASHINGTON CROSSSING ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WASHINGTON CROSSING
Mailing Address - State:PA
Mailing Address - Zip Code:18977-1343
Mailing Address - Country:US
Mailing Address - Phone:215-321-9111
Mailing Address - Fax:215-321-1043
Practice Address - Street 1:1098 WASHINGTON CROSSING RD
Practice Address - Street 2:SUITE 1
Practice Address - City:WASHINGTON CROSSING
Practice Address - State:PA
Practice Address - Zip Code:18977-1343
Practice Address - Country:US
Practice Address - Phone:215-321-9111
Practice Address - Fax:215-321-1043
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004836L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist