Doctor Name: | JAMES CLARENCE SIMMONS |
NPI Number: | 1942555651 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D |
License Number: | PE0000011139 |
Business Practice Address: | 205 Jackson St Nw Cleveland, TN - 373125322 |
Business Phone Number: | 4232803186 |
Business Fax Number: | 4237905299 |
Mailing Address: | 205 Jackson Street Nw, James C Simmons CLEVELAND |
State: | TN |
Postal Code: | 373125322 |
Phone Number: | 4232803186 |
Fax Number: | 4237905299 |
NPI Enumeration Date: | 07/18/2012 |
NPI Last Update Date: | 07/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | PE0000011139 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |