Provider Demographics
NPI:1275587909
Name:SIMMONDS, BARBARA JOYCE (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JOYCE
Last Name:SIMMONDS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:JOYCE
Other - Last Name:SIMMONDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:3850 WASHINGTON ST
Mailing Address - Street 2:#501
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-7355
Mailing Address - Country:US
Mailing Address - Phone:954-985-2233
Mailing Address - Fax:954-985-2233
Practice Address - Street 1:1050 NE 125 ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5881
Practice Address - Country:US
Practice Address - Phone:305-891-8850
Practice Address - Fax:954-985-2233
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4266103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPY4266OtherSTATE LICENSE
FLPY4266OtherSTATE LICENSE