Provider Demographics
NPI:1073730701
Name:SIMS, SUZETTE STOKES (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUZETTE
Middle Name:STOKES
Last Name:SIMS
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 1:127 CYPRUS LANE
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-4548
Mailing Address - Country:US
Mailing Address - Phone:610-384-4239
Mailing Address - Fax:610-384-4239
Practice Address - Street 1:403 W LINCOLN HWY
Practice Address - Street 2:SUITE 206
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2559
Practice Address - Country:US
Practice Address - Phone:610-363-2088
Practice Address - Fax:610-363-2080
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016041103T00000X
FLPY6816103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist