Mrs. Shallary Simmons Duncan
Clinical Psychologist
721 Rose St
Williamsport
, Pennsylvania 17701-1678
Mrs. Shallary Simmons Duncan
Clinical Psychologist
721 Rose St
Williamsport
, Pennsylvania 17701-1678
(570) 971-7729
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Shallary Simmons Duncan
- 721 Rose St
- Williamsport, PA
- Zip : 17701-1678
- Phone : (570) 971-7729
Second Address
- Mrs. Shallary Simmons Duncan
- 721 Rose St
- Williamsport, PA
- Zip : 17701-1678
- Phone : (570) 971-7729
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PC001004 | PA |
| Y | 103TC0700X | Clinical Psychologist | PC001004 | PA |
National Provider Identifier
| NPI | 1003125428 |
|---|---|
| Provider Name | Mrs. Shallary Simmons Duncan |
| First Address | Williamsport, PA 17701-1678 |
| Second Address | Williamsport, PA 17701-1678 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2010 |
| Last Update Date | 04/10/2010 |
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.