Provider Demographics
NPI:1043589260
Name:SIMPSON, MARGARET JANE (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:JANE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:547 IRONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-1930
Mailing Address - Country:US
Mailing Address - Phone:317-663-3292
Mailing Address - Fax:
Practice Address - Street 1:547 IRONWOOD DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-1930
Practice Address - Country:US
Practice Address - Phone:317-663-3292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-16
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22005302A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000881607OtherANTHEM
IN000000881607Medicare PIN