Individual
DR. SUSAN L. SIMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
619 S WASHINGTON ST, SUITE 301, MOSCOW, ID 83843-3090
(208) 892-0452
(208) 892-0681
Mailing address
619 S WASHINGTON ST, SUITE 301, MOSCOW, ID 83843-3090
(208) 892-0452
(208) 892-0681
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
363
ID
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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