Provider Demographics
NPI:1407824808
Name:SIMPSON, CHRISTIN LYNN (LPA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIN
Middle Name:LYNN
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 KEISLER DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7084
Mailing Address - Country:US
Mailing Address - Phone:919-481-3830
Mailing Address - Fax:919-460-9071
Practice Address - Street 1:401 KEISLER DR
Practice Address - Street 2:SUITE 101
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7084
Practice Address - Country:US
Practice Address - Phone:919-481-3830
Practice Address - Fax:919-460-9071
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2426103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0455WOtherBLUE CROSS BLUE SHIELD