Individual
MS. MICHELLE RANDY SIMONS-LIPSHUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8121 HAMMOND RD, ELKINS PARK, PA 19027-3333
(267) 251-0466
Mailing address
812 HAMMOND RD, ELKINS PARK, PA 19027-3302
(267) 251-0466
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001264
PA
106H00000X
Marriage & Family Therapist
MF000052
PA
Other
Enumeration date
07/03/2012
Last updated
04/23/2014
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