Neda Koehnemann PH D Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5444 Issued in FL

Legal business name

NEDA KOEHNEMANN PH D INC

Practice address

105 Jazz Drive
Panama City, FL 32405-4906

Phone

(850) 522-9719

Fax

(850) 522-9718

NPI assigned

May 12, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Neda Koehnemann, PH D

Title

Psychologist Clinical

Phone

(850) 522-9719

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1902198658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JAZZ DRIVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054906",
            "telephone_number": "850-522-9719",
            "fax_number": "850-522-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JAZZ DRIVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054906",
            "telephone_number": "850-522-9719",
            "fax_number": "850-522-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDA KOEHNEMANN PH D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "KOEHNEMANN",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "PSYCHOLOGIST CLINICAL",
        "authorized_official_telephone_number": "850-522-9719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Panama City, FL
• Providers in Panama City, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.