Provider Demographics
NPI:1568008860
Name:SIMPSON, CHRISTINE KELLER (PSYD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:KELLER
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 WASHINGTON PIKE STE 303
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-2886
Mailing Address - Country:US
Mailing Address - Phone:412-206-0135
Mailing Address - Fax:412-206-0133
Practice Address - Street 1:230 N CRAIG ST STE B
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1569
Practice Address - Country:US
Practice Address - Phone:412-621-3777
Practice Address - Fax:412-622-7595
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATPS030547103TC0700X
WV1176103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical