Individual
CRYSTAL MARIE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 SUMMIT ST STE 2D, OAKLAND, CA 94609-3416
(510) 601-0203
(510) 601-4002
Mailing address
2940 SUMMIT ST STE 2D, OAKLAND, CA 94609-3416
(510) 842-5186
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
27437
CA
103TS0200X
School Psychologist
—
—
Other
Enumeration date
07/17/2007
Last updated
10/03/2022
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