Individual
DR. DAVID R. SIMONS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1506 OSOLO RD, SUITE A, ELKHART, IN 46514-4122
(574) 523-3347
(574) 206-9502
Mailing address
1506 OSOLO RD, SUITE A, ELKHART, IN 46514-4122
(574) 523-3347
(574) 206-9502
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184549
ANTHEM
IN
01
—
000000283879
ANTHEM BCBS
IN
01
—
0004274508
AETNA
IN
01
—
09542
CIGNA
IN
05
—
100092420
—
IN
Enumeration date
07/20/2005
Last updated
11/08/2012
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