Mr Jordan Lee Simonson, PHD is a
Psychologist - Clinical based in Randolph Afb, Texas. Mr Jordan Lee Simonson is licensed to practice in Washington (license number PY60504955) and his current practice location is
221 3rd St W, Joint Base San Antonio - Randolph Clinic, Randolph Afb, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 565-3898.
NPI number for Mr Jordan Lee Simonson is 1326330663 and his current mailing address is 221 3rd St W, Joint Base San Antonio - Randolph Clinic, Randolph Afb, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326330663.
Healthcare Provider's Profile
Full Name | Mr Jordan Lee Simonson |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 221 3rd St W, Randolph Afb, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326330663
- Provider Enumeration Date: 05/04/2011
- Last Update Date: 04/23/2018
Medical Identifiers
Medical identifiers for Mr Jordan Lee Simonson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326330663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PY60504955 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jordan Lee Simonson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jordan Lee Simonson, PHD 221 3rd St W, Joint Base San Antonio - Randolph Clinic, Randolph Afb, TX 78150-4800 Ph: (210) 565-3898 | Mr Jordan Lee Simonson, PHD 221 3rd St W, Joint Base San Antonio - Randolph Clinic, Randolph Afb, TX 78150-4800 Ph: (210) 565-3898 |
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