Provider Demographics
NPI:1932656873
Name:TOOMER, SIMONE (CD(DTI), CLC)
Entity type:Individual
Prefix:
First Name:SIMONE
Middle Name:
Last Name:TOOMER
Suffix:
Gender:F
Credentials:CD(DTI), CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 LAFAYETTE AVE APT 5E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-7003
Mailing Address - Country:US
Mailing Address - Phone:917-310-4754
Mailing Address - Fax:
Practice Address - Street 1:309 LAFAYETTE AVE APT 5E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-7003
Practice Address - Country:US
Practice Address - Phone:917-310-4754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula