Provider Demographics
NPI:1073683066
Name:SIMPSON, LISA KRISTEN (PPSC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:KRISTEN
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28842 PLACIDA AVE
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1423
Mailing Address - Country:US
Mailing Address - Phone:949-201-9467
Mailing Address - Fax:
Practice Address - Street 1:FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC
Practice Address - Street 2:801 E. CHAPMAN AVE, SUITE 201
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-1321
Practice Address - Country:US
Practice Address - Phone:714-680-9057
Practice Address - Fax:714-443-2149
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator