Simmons, Nathan Kyle

Simmons, Nathan Kyle is an individual health care provider with primary practice located at 277 Rancheros Dr Suite 301, San Marcos CA 92069-2976. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Simmons, Nathan Kyle can be contacted via phone (619) 528-4600.

Contact Information

Primary practice address
277 Rancheros Dr Suite 301 San Marcos CA 92069-2976
Phone: (619) 528-4600
Fax: (619) 528-4625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY25856 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1447313846
LBN Legal business name Simmons, Nathan Kyle
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Apr 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447313846 NPPES
California Other W416 PCSD MEDICARE #

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