Individual
DR. STEPHANIE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
205 LEXINGTON AVE FL 10, NEW YORK, NY 10016-6020
(212) 335-0034
Mailing address
305 E 24TH ST APT 11M, NEW YORK, NY 10010-4059
(516) 528-5079
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
024459
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/19/2018
Last updated
08/05/2021
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