| Doctor Name: | DR. STEVEN ELLIOTT SIMON |
| NPI Number: | 1053439927 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | LPC002356 |
| Business Practice Address: | 101 Phillippe Pkwy Safety Harbor, FL - 346953660 |
| Business Phone Number: | 7277847650 |
| Business Fax Number: | 7277811336 |
| Mailing Address: | 1678 Lago Vista Blvd, PALM HARBOR |
| State: | FL |
| Postal Code: | 346853329 |
| Phone Number: | 7277847650 |
| Fax Number: | 7277811336 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC002356 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |