Provider Demographics
NPI:1457441198
Name:SIMPSON, DAVID L (PCC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8395 ABBEYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-1827
Mailing Address - Country:US
Mailing Address - Phone:937-321-7742
Mailing Address - Fax:937-482-1328
Practice Address - Street 1:8395 ABBEYWOOD CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-1827
Practice Address - Country:US
Practice Address - Phone:937-321-7742
Practice Address - Fax:937-482-1328
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE 0031216101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional