Provider Demographics
NPI:1972859221
Name:SIMPSON, AMBER LENAE (HIS)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:LENAE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12136 BROOKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-4779
Mailing Address - Country:US
Mailing Address - Phone:423-534-7189
Mailing Address - Fax:
Practice Address - Street 1:12136 BROOKSTONE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-4779
Practice Address - Country:US
Practice Address - Phone:423-534-7189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN. 723237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist