Provider Demographics
NPI:1194912584
Name:SIMMS, KATHRINE YVONNE
Entity type:Individual
Prefix:MRS
First Name:KATHRINE
Middle Name:YVONNE
Last Name:SIMMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATHRINE
Other - Middle Name:YVONNE
Other - Last Name:ROOKWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:10490 LITTLE PATUXENT PKWY STE 600
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4941
Mailing Address - Country:US
Mailing Address - Phone:667-225-1494
Mailing Address - Fax:
Practice Address - Street 1:10490 LITTLE PATUXENT PKWY STE 600
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-4941
Practice Address - Country:US
Practice Address - Phone:667-225-1494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1194912584101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health