Provider Demographics
NPI:1861676751
Name:SIMPSON, JUDY GORDON (MS,LPC)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:GORDON
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MS,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23010 HWY. 59 N
Mailing Address - Street 2:P, O. BOX 870
Mailing Address - City:ROBERTSDALE
Mailing Address - State:AL
Mailing Address - Zip Code:36567
Mailing Address - Country:US
Mailing Address - Phone:251-947-2293
Mailing Address - Fax:251-947-4058
Practice Address - Street 1:23010 HWY 59N
Practice Address - Street 2:
Practice Address - City:ROBERTSDALE
Practice Address - State:AL
Practice Address - Zip Code:36567
Practice Address - Country:US
Practice Address - Phone:251-947-2293
Practice Address - Fax:251-947-4058
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1010101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor