Provider Demographics
NPI:1063547560
Name:BAJWA, SIMI (PSYCHOLOGY BACHELORS)
Entity type:Individual
Prefix:MISS
First Name:SIMI
Middle Name:
Last Name:BAJWA
Suffix:
Gender:F
Credentials:PSYCHOLOGY BACHELORS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 STEINERT AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-2915
Mailing Address - Country:US
Mailing Address - Phone:609-890-2528
Mailing Address - Fax:609-890-0704
Practice Address - Street 1:41 STEINERT AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-2915
Practice Address - Country:US
Practice Address - Phone:609-890-2528
Practice Address - Fax:609-890-0704
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor