| Doctor Name: | DR. ELLIOTT W. SIMON |
| NPI Number: | 1356585939 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D., M.A, B.A. |
| License Number: | PS004263L |
| Business Practice Address: | 111 Elwyn Rd Elwyn, PA - 190634622 |
| Business Phone Number: | 6108912422 |
| Business Fax Number: | |
| Mailing Address: | 111 Elwyn Rd, ELWYN |
| State: | PA |
| Postal Code: | 190634622 |
| Phone Number: | 6108912422 |
| Fax Number: | |
| NPI Enumeration Date: | 04/27/2009 |
| NPI Last Update Date: | 04/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PS004263L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |