Individual
DR. PATRICIA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
389 WHITNEY AVE, NEW HAVEN, CT 06511-2301
(203) 936-7490
Mailing address
389 WHITNEY AVE, NEW HAVEN, CT 06511-2301
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023374
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
023374
NY
103TB0200X
Cognitive & Behavioral Psychologist
023374
NY
103TC0700X
Clinical Psychologist
023374
NY
103TC2200X
Clinical Child & Adolescent Psychologist
023374
NY
103TF0000X
Family Psychologist
023374
NY
103TP2701X
Group Psychotherapy Psychologist
023374
NY
Other
Enumeration date
10/26/2019
Last updated
02/18/2021
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