Individual
DR. GREGORY M SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
18025 BLATTNER ROAD, PHILO, CA 95466
(707) 895-2304
(707) 895-2537
Mailing address
PO BOX 1, BOONVILLE, CA 95415
(707) 895-2304
(707) 895-2537
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
CA LIC NO PSY4045
CA
103TC0700X
Clinical Psychologist
PSY4045
CA
103TC1900X
Counseling Psychologist
Primary
PSY4045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00PL40451
—
CA
Enumeration date
02/07/2007
Last updated
09/11/2025
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