Individual
DR. KEVIN R SIMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
203 E MAIN ST, FROSTBURG, MD 21532-1942
(845) 913-6725
(877) 821-5450
Mailing address
203 E MAIN ST, FROSTBURG, MD 21532-1942
(845) 913-6725
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05103
MD
103TC1900X
Counseling Psychologist
05103
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069742701
—
MD
Enumeration date
06/18/2013
Last updated
12/01/2021
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