Individual
STACEY LYNN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-5681
Mailing address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-5681
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0003983
CO
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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