Individual
DR. RICHARD LEWIS SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1201 NW 16TH ST, MAIL STOP 116B, MIAMI, FL 33125-1624
(305) 324-4455
Mailing address
1037 SW 112TH TER, PEMBROKE PINES, FL 33025-4312
(954) 437-7815
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS005069L
PA
103TC0700X
Clinical Psychologist
Primary
PY4432
FL
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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