Individual
DR. STEPHANIE JERNIGAN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7000
Mailing address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38280
TX
103TC2200X
Clinical Child & Adolescent Psychologist
38280
TX
Other
Enumeration date
08/18/2017
Last updated
06/20/2022
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