Provider Demographics
NPI:1932634292
Name:SIMMS & SIMMS
Entity type:Organization
Organization Name:SIMMS & SIMMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:GLEN
Authorized Official - Last Name:SIMMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:267-738-5912
Mailing Address - Street 1:42 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-2912
Mailing Address - Country:US
Mailing Address - Phone:267-738-5912
Mailing Address - Fax:
Practice Address - Street 1:42 E FRONT ST
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-2912
Practice Address - Country:US
Practice Address - Phone:267-738-5912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA008173-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty