Provider Demographics
NPI:1528338092
Name:NEIMAN, ALLEN ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:ROBERT
Last Name:NEIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1717 MOTT-SMITH DR
Mailing Address - Street 2:#3314
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2873
Mailing Address - Country:US
Mailing Address - Phone:808-528-0737
Mailing Address - Fax:808-521-3174
Practice Address - Street 1:1717 MOTT-SMITH DR
Practice Address - Street 2:#3314
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2873
Practice Address - Country:US
Practice Address - Phone:808-528-0737
Practice Address - Fax:808-521-3174
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-4797101YM0800X, 103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health