Organization
AIR/TSNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE M SIMON PHD (DIRECTOR)
(413) 210-3724
Entity
Organization
Contact information
Practice address
94 KING ST, NORTHAMPTON, MA 01060-3284
(413) 210-3724
Mailing address
16 ARMORY ST, NORTHAMPTON, MA 01060-3857
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/22/2007
Last updated
07/22/2007
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