DR. Amanda Nicole Simmons

NPI #1578987764 in Macclenny, Florida

Provider Information

NPI Number: 1578987764
Entity Type: Individual
Name: DR. Amanda Nicole Simmons
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Enumeration Date: Feb 10, 2014
Last Updated: Feb 10, 2014

Practice Location

Address: 7487 S STATE ROAD 121
City: Macclenny
State: Florida
ZIP Code: 32063-5451
Phone: (904) 259-6211

Specialties & Taxonomy Codes

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

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