Bruce Roland Simons in Ridgway - Addiction (substance Use Disorder)
Bruce Roland Simons - NPI 1083748172
Bruce Roland Simons is a Addiction (substance Use Disorder) in Ridgway, Pennsylvania. Bruce Roland Simons practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bruce Roland Simons is 1083748172. The last update date is 2007-07-08.
Bruce Roland Simons's current location address is 102 Center St, Ridgway, Pennsylvania. You can contact this provider via phone number 8147725546 and fax number 8147720511. The mailing address for Bruce Roland Simons is 102 Center St, Ridgway, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Roland Simons |
|---|---|
| Address | 102 Center St, Ridgway, Pennsylvania |
| Phone Number | 8147725546 |
| Fax Number | 8147720511 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1083748172 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 102 Center St |
|---|---|
| City | Ridgway |
| State | Pennsylvania (PA) |
| Post Code | 158531716 |
| Phone Number | 8147725546 |
| Fax Number | 8147720511 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | PS-015091 |
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Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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What is the unique 10-digit identification code assigned to Bruce Roland Simons by the Centers for Medicare & Medicaid Services?
The Bruce Roland Simons has been issued the NPI (National Provider Identifier) 1083748172, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bruce Roland Simons's physical address?
The Bruce Roland Simons is physically located at 102 Center St, in the city of Ridgway, PA, with the postal code 158531716.
What is the Bruce Roland Simons's specialty and taxonomy code?
The Bruce Roland Simons's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 103Ta0400X.
On what date was the 1083748172 assigned to Bruce Roland Simons?
The Bruce Roland Simons was issued its 1083748172 on 2007-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Bruce Roland Simons, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce Roland Simons, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.