Individual
DR. ANGELA MARQUIS SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2022 FIFTEENTH AVENUE, COLUMBUS, GA 31901-1608
(706) 649-6500
(706) 649-6521
Mailing address
2022 FIFTEENTH AVENUE, COLUMBUS, GA 31901-1608
(706) 649-6500
(706) 649-6521
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003208
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY003208
GA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY003208
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493242309
—
MO
Enumeration date
06/28/2005
Last updated
08/03/2012
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