Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 4543 | AZ |
N | 103TC0700X | Clinical Psychologist | 4543 | AZ |
Y | 102L00000X | Psychologist | 4543 | AZ |
Y | 103T00000X | Psychologist | 4543 | AZ |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 4543 | AZ |
N | 103G00000X | Clinical Psychologist | 4543 | AZ |
N | 103TC0700X | Clinical Psychologist | 4543 | AZ |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 4543 | AZ |
N | 103TE1100X | Exercise & Sports Psychologist | 4543 | AZ |
N | 103TH0004X | Health Psychologist | 4543 | AZ |
N | 103TM1800X | Intellectual & Developmental Disabilities | 4543 | AZ |
N | 103TP2701X | Group Psychotherapist | 4543 | AZ |
NPI | 1174927172 |
---|---|
Provider Name | Christopher Simpson |
First Address | Scottsdale, AZ 85257-4405 |
Second Address | Peoria, AZ 85383-1254 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2014 |
Last Update Date | 20/10/2014 |