Individual
DR. STEVEN JACK SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1238 E BROADWAY, LOUISVILLE, KY 40204-1714
(502) 587-1131
(502) 228-5183
Mailing address
1238 E BROADWAY, LOUISVILLE, KY 40204-1714
(502) 587-1131
(502) 228-5183
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
371
KY
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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