Simmons, Diane Octavia

Simmons, Diane Octavia is an sole proprietor health care provider with primary practice located at 85 Raritan Ave Ste 420 , Highland Park NJ 08904-2439. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Simmons, Diane Octavia can be contacted via phone (732) 692-7348.

Contact Information

Primary practice address
85 Raritan Ave Ste 420 Highland Park NJ 08904-2439
Phone: (732) 692-7348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00196200 New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35S100492100 New Jersey

Profile Details

NPI number 1760719504
LBN Legal business name Simmons, Diane Octavia
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2009
Last updated May 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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