Individual
DR. STACY LYNN SIMON
Active
Individual
DR. STACY LYNN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016569
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11919882
HIGHMARK
PA
Enumeration date
05/26/2009
Last updated
06/24/2026
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