Doctor Name: | MARK FLETCHER SIMONDS |
NPI Number: | 1124244991 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101230975 |
Business Practice Address: | 11333 Sepulveda Blvd Mission Hills, CA - 913451116 |
Business Phone Number: | 8188375780 |
Business Fax Number: | 8188375609 |
Mailing Address: | Po Box 9602, MISSION HILLS |
State: | CA |
Postal Code: | 913469602 |
Phone Number: | 8188375691 |
Fax Number: | 8187924793 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 04/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 0101230975 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |