| Doctor Name: | DR. SIMONA LUMERMAN |
| NPI Number: | 1124209689 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 014320-1 |
| Business Practice Address: | 123 Grove Avenue Suite #202 Cedarhurst, NY - 115162322 |
| Business Phone Number: | 5165690568 |
| Business Fax Number: | 5167921234 |
| Mailing Address: | 123 Grove Ave, Suite #202 CEDARHURST |
| State: | NY |
| Postal Code: | 115162322 |
| Phone Number: | 5165690568 |
| Fax Number: | |
| NPI Enumeration Date: | 11/26/2007 |
| NPI Last Update Date: | 12/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 014320-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |