Doctor Name: | G. PRESTON SIMS |
NPI Number: | 1053547711 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PSY12830 |
Business Practice Address: | 674 Via De La Valle Ste. 216 Solana Beach, CA - 920753407 |
Business Phone Number: | 6196072672 |
Business Fax Number: | 8585091214 |
Mailing Address: | 674 Via De La Valle, Ste. 216 SOLANA BEACH |
State: | CA |
Postal Code: | 920753407 |
Phone Number: | 6196072672 |
Fax Number: | 8585091214 |
NPI Enumeration Date: | 06/08/2009 |
NPI Last Update Date: | 06/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY12830 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |