Provider Demographics
NPI:1033329479
Name:SIMPSON, PAUL W (EDD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:W
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N EL DORADO PL
Mailing Address - Street 2:SUITE F-640
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-4637
Mailing Address - Country:US
Mailing Address - Phone:520-298-9746
Mailing Address - Fax:520-298-9367
Practice Address - Street 1:1200 N EL DORADO PL
Practice Address - Street 2:SUITE F-640
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-4637
Practice Address - Country:US
Practice Address - Phone:520-298-9746
Practice Address - Fax:520-298-9367
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ#1967103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0613340OtherBCBS OF ARIZONA
AZ42857OtherNAT REG HEALTH CARE PROVI
AZAZ0613340OtherBCBS OF ARIZONA