Individual
DR. TANYA ANN SIMONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
103-228
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
866-124
LICENSE
WI
Enumeration date
06/18/2009
Last updated
06/29/2016
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