Kathryn A Simon
Clinical Child & Adolescent Psychologist
1011 Veterans Memorial Pkwy
Riverside
, Rhode Island 02915-5061
Kathryn A Simon
Clinical Child & Adolescent Psychologist
1011 Veterans Memorial Pkwy
Riverside
, Rhode Island 02915-5061
(401) 444-6912
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Kathryn A Simon
- 117 Ellenfield St Ste 101
- Providence, RI
- Zip : 02905-4541
- Fax : (401) 444-6912
- Phone : (401) 444-6779
Second Address
- Kathryn A Simon
- 1011 Veterans Memorial Pkwy
- Riverside, RI
- Zip : 02915-5061
- Phone : (401) 432-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PS01881 | RI |
National Provider Identifier
| NPI | 1023671799 |
|---|---|
| Provider Name | Kathryn A Simon |
| First Address | Providence, RI 02905-4541 |
| Second Address | Riverside, RI 02915-5061 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2019 |
| Last Update Date | 18/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.