Judith Lynell Simmermon in Atlanta - Psychologist
Judith Lynell Simmermon - NPI 1073642153
Judith Lynell Simmermon is a Psychologist in Atlanta, Georgia. Judith Lynell Simmermon practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Judith Lynell Simmermon is 1073642153. The last update date is 2007-07-08.
Judith Lynell Simmermon's current location address is 1708 Peachtree St Nw, Atlanta, Georgia. You can contact this provider via phone number 4048752050 and fax number 4048750470. The mailing address for Judith Lynell Simmermon is 1708 Peachtree St Nw, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Lynell Simmermon |
|---|---|
| Address | 1708 Peachtree St Nw, Atlanta, Georgia |
| Phone Number | 4048752050 |
| Fax Number | 4048750470 |
| Sole Proprietor | Y |
| Credentials | PH.D. PSYC |
NPI Number Detail
| NPI Number | 1073642153 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1708 Peachtree St Nw |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303092434 |
| Phone Number | 4048752050 |
| Fax Number | 4048750470 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 987 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identifier code issued to Judith Lynell Simmermon by the Centers for Medicare & Medicaid Services (CMS)?
The Judith Lynell Simmermon has been assigned the NPI (National Provider Identifier) 1073642153. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Judith Lynell Simmermon located?
The Judith Lynell Simmermon is located at 1708 Peachtree St Nw, Atlanta, GA 303092434.
What is Judith Lynell Simmermon's area of expertise and its corresponding taxonomy classification?
The Judith Lynell Simmermon's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Judith Lynell Simmermon receive its 1073642153 assignment from the Centers for Medicare & Medicaid Services?
The Judith Lynell Simmermon was assigned its 1073642153 on 2007-03-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Judith Lynell Simmermon most recently updated?
The details pertaining to the Judith Lynell Simmermon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.