Provider Demographics
NPI:1366570475
Name:SIMNOWITZ, LINDA BERNER (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:BERNER
Last Name:SIMNOWITZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 SOUTH MIDDLE NECK ROAD
Mailing Address - Street 2:APT. 2S
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3440
Mailing Address - Country:US
Mailing Address - Phone:516-498-2930
Mailing Address - Fax:
Practice Address - Street 1:75 SOUTH MIDDLE NECK ROAD
Practice Address - Street 2:APT. 2S
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3440
Practice Address - Country:US
Practice Address - Phone:516-498-2930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014166-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical