Wayne Vern Simmons, PH.D.

NPI #1477604601 in Traverse City, Michigan

Provider Information

NPI Number: 1477604601
Entity Type: Individual
Name: Wayne Vern Simmons, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Jan 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2226 S AIRPORT RD W
Address 2: STE. A
City: Traverse City
State: Michigan
ZIP Code: 49684-4706
Phone: (231) 947-2442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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