David R. Simons is a Clinical in Elkhart, Indiana. David R. Simons practices all healthcare services and medical treatments related to Clinical. The NPI Number for David R. Simons is 1053310029. The last update date is 2012-11-08.
David R. Simons's current location address is 1506 Osolo Rd, Elkhart, Indiana. You can contact this provider via phone number 5745233347 and fax number 5742069502. The mailing address for David R. Simons is 1506 Osolo Rd, Elkhart, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David R. Simons |
|---|---|
| Address | 1506 Osolo Rd, Elkhart, Indiana |
| Phone Number | 5745233347 |
| Fax Number | 5742069502 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1053310029 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2012-11-08 |
Provider Mailing Address Detail
| Address | 1506 Osolo Rd |
|---|---|
| City | Elkhart |
| State | Indiana (IN) |
| Post Code | 465144122 |
| Phone Number | 5745233347 |
| Fax Number | 5742069502 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20040248A |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 184549 | IN | ANTHEM | |
| 9542 | IN | CIGNA | |
| 100092420 | IN | -- | |
| 4274508 | IN | AETNA | |
| 283879 | IN | ANTHEM BCBS | |
| 184549 | IN | UNICARE |
Post Comment/ Review Below
What is the David R. Simons's 1053310029?
The David R. Simons's NPI (National Provider Identifier) Number is 1053310029. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of David R. Simons?
The David R. Simons is situated at 1506 Osolo Rd, in the city of Elkhart, state of IN, with the zip code 465144122.
What is the David R. Simons's specialty and taxonomy code?
The David R. Simons's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053310029 to David R. Simons?
The David R. Simons received its 1053310029 assignment from the Centers for Medicare & Medicaid Services on 2005-07-20.
When was the information pertaining to David R. Simons most recently updated or revised?
The details related to David R. Simons, including its address, specialty, and other relevant information, were last updated or revised on 2012-11-08.