Provider Demographics
NPI:1780760876
Name:SIMONONIS, JOYCE
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:
Last Name:SIMONONIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JOYCE
Other - Middle Name:
Other - Last Name:GARGANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED LPC
Mailing Address - Street 1:1230 WEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2250
Mailing Address - Country:US
Mailing Address - Phone:215-674-8754
Mailing Address - Fax:215-682-0434
Practice Address - Street 1:246 W STREET RD
Practice Address - Street 2:SUITE 4 A
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3228
Practice Address - Country:US
Practice Address - Phone:215-443-0708
Practice Address - Fax:215-682-0434
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000205101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional