Provider Demographics
NPI:1225181894
Name:SIMPSON, JODY (LPC)
Entity Type:Individual
Prefix:DR
First Name:JODY
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 E FRANK PHILLIPS BLVD STE G
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-8338
Mailing Address - Country:US
Mailing Address - Phone:918-335-7093
Mailing Address - Fax:
Practice Address - Street 1:3925 E FRANK PHILLIPS BLVD STE G
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-8338
Practice Address - Country:US
Practice Address - Phone:918-335-7093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK981101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor