Provider Demographics
NPI:1881970556
Name:SIMMS, STEVEN G (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:G
Last Name:SIMMS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-2912
Mailing Address - Country:US
Mailing Address - Phone:267-738-5912
Mailing Address - Fax:610-829-2774
Practice Address - Street 1:42 E FRONT ST
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-2912
Practice Address - Country:US
Practice Address - Phone:267-738-5912
Practice Address - Fax:610-829-2774
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008173L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist