Provider Demographics
NPI:1902440662
Name:NEUMAN, LAURAL A (IMFT, LPC)
Entity type:Individual
Prefix:
First Name:LAURAL
Middle Name:A
Last Name:NEUMAN
Suffix:
Gender:F
Credentials:IMFT, LPC
Other - Prefix:
Other - First Name:LAURAL
Other - Middle Name:A
Other - Last Name:TRECIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:528 OAKDALE DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622-9493
Mailing Address - Country:US
Mailing Address - Phone:330-934-0402
Mailing Address - Fax:
Practice Address - Street 1:1621 MEDINA RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-5333
Practice Address - Country:US
Practice Address - Phone:330-241-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-05
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHM.2100172106H00000X
OHC.2003034101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health