Jonathan Alan Simons Phd Pc in Pawleys Island - Clinical

Jonathan Alan Simons Phd Pc - NPI 1104048925

Jonathan Alan Simons Phd Pc is a Clinical in Pawleys Island, South Carolina. Jonathan Alan Simons Phd Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jonathan Alan Simons Phd Pc is 1104048925. The last update date is 2012-08-23.

Jonathan Alan Simons Phd Pc's current location address is Po Box 859, Pawleys Island, South Carolina. You can contact this provider via phone number 8438280502 and fax number 8438284402. The mailing address for Jonathan Alan Simons Phd Pc is Po Box 859, Pawleys Island, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jonathan Alan Simons Phd Pc
Address Po Box 859, Pawleys Island, South Carolina
Phone Number 8438280502
Fax Number 8438284402
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Stelling Claire Patricia
Telephone Number 8438280502

NPI Number Detail

NPI Number 1104048925
Provider Enumeration Date 2007-05-02
Last Updated Date 2012-08-23

Provider Mailing Address Detail

Address Po Box 859
City Pawleys Island
State South Carolina (SC)
Post Code 295850859
Phone Number 8438280502
Fax Number 8438284402

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 639
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
PS0245 SC --

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FAQs about Jonathan Alan Simons Phd Pc

What is the Jonathan Alan Simons Phd Pc's 1104048925?

The Jonathan Alan Simons Phd Pc's NPI (National Provider Identifier) Number is 1104048925. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Jonathan Alan Simons Phd Pc's physical address?

The Jonathan Alan Simons Phd Pc is physically located at Po Box 859, in the city of Pawleys Island, SC, with the postal code 295850859.

What is Jonathan Alan Simons Phd Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jonathan Alan Simons Phd Pc is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

When did Jonathan Alan Simons Phd Pc receive its 1104048925 assignment?

The Jonathan Alan Simons Phd Pc was assigned its 1104048925 on 2007-05-02, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Jonathan Alan Simons Phd Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jonathan Alan Simons Phd Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-08-23.

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