Healthcare Provider Details

I. General information

NPI: 1285675546
Provider Name (Legal Business Name): SYLVIA SUE SIMS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4159 HOLLAND SYLVANIA RD SUITE 203
TOLEDO OH
43623
US

IV. Provider business mailing address

4159 HOLLAND SYLVANIA RD SUITE 203
TOLEDO OH
43623-4803
US

V. Phone/Fax

Practice location:
  • Phone: 419-535-1901
  • Fax:
Mailing address:
  • Phone: 419-535-1901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number4954
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: