Simons, Ilana
Simons, Ilana is an sole proprietor health care provider with primary practice located at 1054 Amaroso Pl , Venice CA 90291. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Simons, Ilana can be contacted via phone (617) 850-5408.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 019255 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY1668 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 29384 | California |
Profile Details
| NPI number | 1770864225 |
|---|---|
| LBN Legal business name | Simons, Ilana |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2011 |
| Last updated | Mar 28th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770864225 | NPPES |
| New Mexico | MEDICAID | 77925084 |
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