Individual
DR. RANDY SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
80 PARK ST, MONTCLAIR, NJ 07042-2904
(201) 341-0593
Mailing address
80 PARK ST, MONTCLAIR, NJ 07042-2904
(201) 341-0593
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100509000
NJ
Other
Enumeration date
11/18/2013
Last updated
07/21/2022
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