Provider Demographics
NPI:1194357442
Name:SIMPSON, SANDRA M (MS, LMHC)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:M
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6407 FAUNTLEROY WAY SW.
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1820
Mailing Address - Country:US
Mailing Address - Phone:206-762-2541
Mailing Address - Fax:206-935-3795
Practice Address - Street 1:6407 FAUNTLEROY WAY SW.
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1820
Practice Address - Country:US
Practice Address - Phone:206-762-2541
Practice Address - Fax:206-935-3795
Is Sole Proprietor?:No
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008182101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health