Individual
ERIK J SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5623 N 11TH ST, PHILADELPHIA, PA 19141-3607
(267) 303-3058
Mailing address
5623 N 11TH ST, PHILADELPHIA, PA 19141-3607
(267) 303-3058
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
251F00000X
Home Infusion Agency
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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