Jeanette Maritza Simmons in Saint Joseph - Clinical

Jeanette Maritza Simmons - NPI 1457458432

Jeanette Maritza Simmons is a Clinical in Saint Joseph, Missouri. Jeanette Maritza Simmons practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeanette Maritza Simmons is 1457458432. The last update date is 2010-04-27.

Jeanette Maritza Simmons's current location address is 3505 Frederick Ave, Saint Joseph, Missouri. You can contact this provider via phone number 8163872300 and fax number 8163872769. The mailing address for Jeanette Maritza Simmons is 3505 Frederick Ave, Saint Joseph, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeanette Maritza Simmons
Address 3505 Frederick Ave, Saint Joseph, Missouri
Phone Number 8163872300
Fax Number 8163872769
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1457458432
Provider Enumeration Date 2006-09-20
Last Updated Date 2010-04-27

Provider Mailing Address Detail

Address 3505 Frederick Ave
City Saint Joseph
State Missouri (MO)
Post Code 645062914
Phone Number 8163872300
Fax Number 8163872769

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 2002030478
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
498333509 MO --

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FAQs about Jeanette Maritza Simmons

What is the unique provider identifier assigned to Jeanette Maritza Simmons?

The Jeanette Maritza Simmons has been issued the NPI (National Provider Identifier) 1457458432 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jeanette Maritza Simmons's facilities are geographically located?

The facilities of Jeanette Maritza Simmons are physically situated at the following location: 3505 Frederick Ave, Saint Joseph, MO, 645062914.

What is Jeanette Maritza Simmons's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jeanette Maritza Simmons is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.

When did Jeanette Maritza Simmons receive its 1457458432 assignment?

The Jeanette Maritza Simmons was assigned its 1457458432 on 2006-09-20, which is the date when this unique identifier was issued to the organization.

When was the information regarding Jeanette Maritza Simmons, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jeanette Maritza Simmons, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-04-27.

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