Individual
WAYNE VERN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2226 S AIRPORT RD W, STE. A, TRAVERSE CITY, MI 49684-4706
(231) 947-2442
(231) 947-2446
Mailing address
14300 SEVEN HILLS RD, TRAVERSE CITY, MI 49686-8706
(231) 223-4527
(231) 223-4527
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
63010002494
MI
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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