Provider Demographics
NPI:1669540209
Name:SIMONS, HARRIET F (PH D, LICSW)
Entity type:Individual
Prefix:DR
First Name:HARRIET
Middle Name:F
Last Name:SIMONS
Suffix:
Gender:F
Credentials:PH D, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WOODRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-7033
Mailing Address - Country:US
Mailing Address - Phone:781-237-3317
Mailing Address - Fax:
Practice Address - Street 1:10 WOODRIDGE RD
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-7033
Practice Address - Country:US
Practice Address - Phone:781-237-3317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA103-400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health