Individual
DR. SUSAN JANE SIMONIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., ABPP
Contact information
Practice address
857 COLEMAN BLVD STE C, MOUNT PLEASANT, SC 29464-4043
(843) 856-0006
(843) 971-0406
Mailing address
857 COLEMAN BLVD STE C, MOUNT PLEASANT, SC 29464-4043
(843) 856-0006
(843) 971-0406
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
624
SC
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
09/09/2007
Last updated
09/09/2007
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