Provider Demographics
NPI:1598094369
Name:SIMMS, VERNAL E SR (MDIV)
Entity Type:Individual
Prefix:
First Name:VERNAL
Middle Name:E
Last Name:SIMMS
Suffix:SR
Gender:M
Credentials:MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BROWN ST
Mailing Address - Street 2:SUITE 16
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057-1741
Mailing Address - Country:US
Mailing Address - Phone:717-388-1059
Mailing Address - Fax:717-388-1046
Practice Address - Street 1:100 BROWN ST
Practice Address - Street 2:SUITE 16
Practice Address - City:MIDDLETOWN
Practice Address - State:PA
Practice Address - Zip Code:17057-1741
Practice Address - Country:US
Practice Address - Phone:717-388-1059
Practice Address - Fax:717-388-1046
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral