Provider Demographics
NPI:1245774827
Name:SIMPSON, CELESTE ELENA (MA-CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:CELESTE
Middle Name:ELENA
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MA-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W 147TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-4801
Mailing Address - Country:US
Mailing Address - Phone:212-491-5982
Mailing Address - Fax:
Practice Address - Street 1:2589 SEVENTH AVE
Practice Address - Street 2:P.S. 200 THE JAMES MCCUNE SMITH SCHOOL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039
Practice Address - Country:US
Practice Address - Phone:212-491-6636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008647235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist