Individual
JULIE SIMENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4870 W CLARK RD STE 106, YPSILANTI, MI 48197-1104
(734) 961-7196
(734) 961-7196
Mailing address
4870 W CLARK RD STE 106, YPSILANTI, MI 48197-1104
(734) 961-7196
(734) 961-7187
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6053
OH
103T00000X
Psychologist
Primary
6053
OH
103TR0400X
Rehabilitation Psychologist
6053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2533422
—
OH
Enumeration date
08/14/2006
Last updated
02/02/2021
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