Provider Demographics
NPI:1013355676
Name:DE SIMILIEN, RALPH HEMERSON (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:HEMERSON
Last Name:DE SIMILIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:740 MIX AVE UNIT 407
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-2287
Mailing Address - Country:US
Mailing Address - Phone:281-901-0940
Mailing Address - Fax:877-910-0729
Practice Address - Street 1:705 MEMORY LN
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:TX
Practice Address - Zip Code:75791-3692
Practice Address - Country:US
Practice Address - Phone:281-901-0940
Practice Address - Fax:877-910-0729
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS39652084P0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry