Provider Demographics
NPI:1780185157
Name:SIMPSON, COLLEEN BAILEY
Entity Type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:BAILEY
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 DUNBERRY DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2065
Mailing Address - Country:US
Mailing Address - Phone:410-757-0361
Mailing Address - Fax:
Practice Address - Street 1:637 DUNBERRY DR
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2065
Practice Address - Country:US
Practice Address - Phone:410-757-0361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst