| Doctor Name: | EDMUND CONRAD NEUHAUS |
| NPI Number: | 1093761066 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 4826 |
| Business Practice Address: | 275 Grove St Suite 2-400 Auburndale, MA - 024662272 |
| Business Phone Number: | 6176634948 |
| Business Fax Number: | 6176634801 |
| Mailing Address: | 275 Grove St, Suite 2-400 AUBURNDALE |
| State: | MA |
| Postal Code: | 024662272 |
| Phone Number: | 6176634948 |
| Fax Number: | 6176634801 |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 09/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 4826 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |