Individual
MR. BRUCE ROLAND SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
102 CENTER ST, RIDGWAY, PA 15853-1716
(814) 772-5546
(814) 772-0511
Mailing address
102 CENTER ST, RIDGWAY, PA 15853-1716
(814) 772-5546
(814) 772-0511
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PS-015091
PA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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