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NPI Code Detail

MEDICARE: STEPHEN HAROLD SIMOSON LPC

MEDICARE:   STEPHEN HAROLD SIMOSON  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
1101YM0800XMental Health Counselor77904TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
177904OTHERTXLPC

General Provider Information

NPI Number : 1609344928
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN HAROLD SIMOSON LPC
Provider Business Mailing Address
First Line : 27040 E US HIGHWAY 380 APT 10207
Second Line :
City : AUBREY
State : TX
Zip : 76227-1566
Country : US
Telephone Number : 940-391-6890
Fax Number :
Provider Business Practice Location Address
First Line : 4020 HUFFINES BLVD STE 120
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-6524
Country : US
Telephone Number : 940-391-6890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2018
Last Update Date : 11/05/2018

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Directions to “ STEPHEN HAROLD SIMOSON LPC” Practice Location

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