Provider Demographics
NPI:1760520803
Name:SYLVIA SUE SIMS, PHD, LLC
Entity Type:Organization
Organization Name:SYLVIA SUE SIMS, PHD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:419-535-1901
Mailing Address - Street 1:4159 HOLLAND-SYLVANIA RD.
Mailing Address - Street 2:LIBERTY SQUARE #203
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4801
Mailing Address - Country:US
Mailing Address - Phone:419-535-1901
Mailing Address - Fax:419-537-1922
Practice Address - Street 1:4159 N HOLLAND SYLVANIA RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623
Practice Address - Country:US
Practice Address - Phone:419-535-1901
Practice Address - Fax:419-537-1922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4954103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty