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Individual

DR. JACQUELINE LISA SIMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
329 E 62ND ST, NEW YORK, NY 10021-7705
(212) 838-4333
(212) 838-7158
Mailing address
316 E 70TH ST, APT. 1FE, NEW YORK, NY 10021-8625
(646) 242-0686
(212) 838-7158

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015689
NY

Other

Enumeration date
01/17/2007
Last updated
07/08/2007
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