Simonson, Kevin R

Simonson, Kevin R is an sole proprietor health care provider with primary practice located at 203 E Main St , Frostburg MD 21532-1942. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Simonson, Kevin R can be contacted via phone (845) 913-6725.

Contact Information

Primary practice address
203 E Main St Frostburg MD 21532-1942
Phone: (845) 913-6725
Fax: (877) 821-5450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 05103 Maryland
Behavioral Health & Social Service Providers / Psychologist 103T00000X 05103 Maryland

Profile Details

NPI number 1689013138
LBN Legal business name Simonson, Kevin R
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2013
Last updated Dec 1st, 2021 - about 4 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 1689013138 NPPES
Maryland MEDICAID 069742701

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