Individual
TASHA JACKSON SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
327 W 21ST ST, SUITE 205, NORFOLK, VA 23517-2130
(757) 622-9852
(757) 622-4033
Mailing address
327 W 21ST ST, SUITE 205, NORFOLK, VA 23517-2130
(757) 622-9852
(757) 622-4033
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810004002
VA
103TC0700X
Clinical Psychologist
0810004002
VA
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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