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NPI Code Detail

MEDICARE: MR. DAVID ERIC SIMONS III LPC

MEDICARE:  MR. DAVID ERIC SIMONS III LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorPC014229PA

General Provider Information

NPI Number : 1376298414
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID ERIC SIMONS III LPC
Provider Business Mailing Address
First Line : 193 BEAVER ST
Second Line :
City : NEW BRIGHTON
State : PA
Zip : 15066-2904
Country : US
Telephone Number : 724-650-2104
Fax Number :
Provider Business Practice Location Address
First Line : 193 BEAVER ST
Second Line :
City : NEW BRIGHTON
State : PA
Zip : 15066-2904
Country : US
Telephone Number : 724-650-2104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2022
Last Update Date : 02/17/2022

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Directions to “ MR. DAVID ERIC SIMONS III LPC” Practice Location

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