Individual
DR. DIANE OCTAVIA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
85 RARITAN AVE STE 420, HIGHLAND PARK, NJ 08904-2439
(732) 692-7348
Mailing address
85 RARITAN AVE STE 420, HIGHLAND PARK, NJ 08904-2439
(732) 692-7348
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00196200
NJ
103TC0700X
Clinical Psychologist
Primary
35S100492100
NJ
Other
Enumeration date
11/16/2009
Last updated
05/16/2020
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