Individual
DR. LORI SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.P.C.C.
Contact information
Practice address
4339 WINSTON AVE, LATONIA CENTRE, COVINGTON, KY 41015-1739
(859) 835-2573
(859) 727-6327
Mailing address
4339 WINSTON AVE, LATONIA CENTRE, COVINGTON, KY 41015-1739
(859) 835-2573
(859) 727-6327
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
105701
KY
101YP2500X
Professional Counselor
405
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379463
ANTHEMBC/BS ID
KY
Enumeration date
09/28/2006
Last updated
07/01/2016
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