Provider Demographics
NPI:1720102916
Name:NEUMANN, NICKI SUZANNE (MAED, CAS)
Entity type:Individual
Prefix:MS
First Name:NICKI
Middle Name:SUZANNE
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:MAED, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CRESTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3700
Mailing Address - Country:US
Mailing Address - Phone:828-258-9453
Mailing Address - Fax:
Practice Address - Street 1:110 CRESTWOOD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3700
Practice Address - Country:US
Practice Address - Phone:828-258-9453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2087101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool