Individual
DR. STEVEN E. SIMMINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10 COURTNEY LN, MEDIA, PA 19063-2145
(610) 565-7703
(610) 565-2039
Mailing address
10 COURTNEY LN, MEDIA, PA 19063-2145
(610) 565-7703
(610) 565-2039
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS 002213L
PA
103TC0700X
Clinical Psychologist
PS 002213L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS 002213L
PA
103TF0000X
Family Psychologist
PS 002213L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21497
NATIONAL REGISTER
—
01
—
750
ASPPB
—
01
—
PS 002213L
PSYCHOLOGIST LICENSE
PA
Enumeration date
07/26/2005
Last updated
11/11/2010
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