Provider Demographics
NPI:1013455849
Name:SIMPSON SPEECH AND LANGUAGE THERAPY SERVICES, PC
Entity Type:Organization
Organization Name:SIMPSON SPEECH AND LANGUAGE THERAPY SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:NORIKO
Authorized Official - Middle Name:KRISTEN
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:559-859-3362
Mailing Address - Street 1:2405 TULARE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-2207
Mailing Address - Country:US
Mailing Address - Phone:559-797-1873
Mailing Address - Fax:559-354-8252
Practice Address - Street 1:2405 TULARE ST STE 200
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-2207
Practice Address - Country:US
Practice Address - Phone:559-797-1873
Practice Address - Fax:559-472-3076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21278235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty