| Liza R Simental, Phd Hspp Pc | |
|
255 E Sunset Ln West Lafayette IN 47906-2456 | |
| (765) 532-9084 | |
| (765) 447-9659 |
| Full Name | Liza R Simental, Phd Hspp Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 255 E Sunset Ln, West Lafayette, Indiana |
| Authorized Official Name and Position | Liza R Rudolph (OWNER) |
| Authorized Official Contact | 7655329084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liza R Simental, Phd Hspp Pc Po Box 3884 West Lafayette IN 47996-3884 Ph: (765) 532-9084 | Liza R Simental, Phd Hspp Pc 255 E Sunset Ln West Lafayette IN 47906-2456 Ph: (765) 532-9084 |
| NPI Number | 1013180298 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013180298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 200251030 (Indiana) | Primary |
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