Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 1118 | CO |
Y | 103TR0400X | Rehabilitation Psychologist | PSY.0004128 | CO |
NPI | 1104069038 |
---|---|
Provider Name | Tess Simpson |
First Address | Denver, CO 80224-1935 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2009 |
Last Update Date | 26/02/2020 |