Provider Demographics
NPI:1427675453
Name:NEUMAN, ROBERT ELMER
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ELMER
Last Name:NEUMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30035 FOXTAIL PINE CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8119
Mailing Address - Country:US
Mailing Address - Phone:920-366-9051
Mailing Address - Fax:
Practice Address - Street 1:10448 SPRINGROSE AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-0790
Practice Address - Country:US
Practice Address - Phone:920-366-9051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93445101YP2500X
LA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator