Doctor Name: | LYNDA ANNE SIMMONS |
NPI Number: | 1518273663 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 425291 |
Business Practice Address: | 7 Reed St Hallowell, ME - 043473047 |
Business Phone Number: | 2076238677 |
Business Fax Number: | |
Mailing Address: | 308 Hallowell Rd, POWNAL |
State: | ME |
Postal Code: | 040696210 |
Phone Number: | 2076884035 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2010 |
NPI Last Update Date: | 08/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 425291 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |