Individual
DR. NANCY JANE SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5565 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33703-1203
(727) 656-6457
(727) 577-0983
Mailing address
14070 WHISPERWOOD DR, CLEARWATER, FL 33762-3350
(727) 656-6457
(727) 577-0983
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0003611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75697
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/16/2006
Last updated
07/08/2007
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