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NPI Code Detail

MEDICARE: NANCY J. SIMONS PH.D.

MEDICARE: NANCY J. SIMONS PH.D.
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
1103TC0700XClinical PsychologistPY0003611FL

General Provider Information

NPI Number : 1578977567
Entity Type Code : Organization
Provider Name (Legal Business Name) : NANCY J. SIMONS PH.D.
Provider Business Mailing Address
First Line : 14070 WHISPERWOOD DR
Second Line :
City : CLEARWATER
State : FL
Zip : 33762-3350
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5565 DR MARTIN LUTHER KING JR ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33703-1203
Country : US
Telephone Number : 727-656-6457
Fax Number : 727-329-9032
Authorized Official
Title or Position : PSYCHOLOGIST
Name : DR. NANCY J SIMONS
Credential : PH.D.
Telephone Number : 727-656-6457
Provider Enumeration Date : 06/17/2014
Last Update Date : 06/17/2014

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