Doctor Name: | MRS. NANCY MARIE SIMER |
NPI Number: | 1023284940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., BCBA |
License Number: | 1-07-3935 |
Business Practice Address: | 3403 Nature Trail Ln Mount Vernon, IL - 628646219 |
Business Phone Number: | 6182469456 |
Business Fax Number: | |
Mailing Address: | 3403 Nature Trail Ln, MOUNT VERNON |
State: | IL |
Postal Code: | 628646219 |
Phone Number: | 6182469456 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2008 |
NPI Last Update Date: | 04/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1-07-3935 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |