Provider Demographics
NPI:1558635417
Name:SIMAS, ZITA KRISTINA (MA)
Entity Type:Individual
Prefix:MISS
First Name:ZITA
Middle Name:KRISTINA
Last Name:SIMAS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 NATHAN ELLIS HWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3121
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:508-477-9334
Practice Address - Street 1:400 NATHAN ELLIS HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3121
Practice Address - Country:US
Practice Address - Phone:508-730-1138
Practice Address - Fax:508-477-9334
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health