Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225C00000X | Rehabilitation Counselor | 1089 | NC |
NPI | 1235330317 |
---|---|
Provider Name | Dr. Ann Tamara Neulicht |
First Address | Raleigh, NC 27615-6164 |
Second Address | Raleigh, NC 27615-6164 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 01/06/2009 |