Simonsen, Gregory O
Simonsen, Gregory O is an individual health care provider with primary practice located at 3811 Turtle Creek Blvd. Suite 305, Dallas TX 75219-4542. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Simonsen, Gregory O can be contacted via phone (214) 443-7808.Contact Information
Primary practice address
3811 Turtle Creek Blvd. Suite 305
Dallas TX 75219-4542
Phone: (214) 443-7808
Fax: (214) 443-7807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 31146 | Texas |
Profile Details
| NPI number | 1356306690 |
|---|---|
| LBN Legal business name | Simonsen, Gregory O |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Apr 18th, 2013 - about 11 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 | 1356306690 | NPPES |
| Texas | MEDICAID | 1031205-03 |
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