Individual
DR. LACONDRIA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), JBSA FT SAM HOUSTON, TX 78234-4501
(210) 916-3710
Mailing address
1427 VINE ST, PHILADELPHIA, PA 19102-1031
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017335
PA
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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