Doctor Name: | MRS. BRENDA EILEEN SIMMONS |
NPI Number: | 1023277308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 251601146 |
Business Practice Address: | 1815 Valley View Blvd Altoona, PA - 166026042 |
Business Phone Number: | 8149429425 |
Business Fax Number: | 8149429425 |
Mailing Address: | 1815 Valley View Blvd, ALTOONA |
State: | PA |
Postal Code: | 166026042 |
Phone Number: | 8149429425 |
Fax Number: | 8149429725 |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 06/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 251601146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |