Provider Demographics
NPI:1629320056
Name:SIMPSON, NORIKO KRISTEN (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NORIKO
Middle Name:KRISTEN
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2028 ELLERY AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-0651
Mailing Address - Country:US
Mailing Address - Phone:559-859-3362
Mailing Address - Fax:559-472-3076
Practice Address - Street 1:2028 ELLERY AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-0651
Practice Address - Country:US
Practice Address - Phone:559-797-1873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21278235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist