Provider Demographics
NPI:1265597678
Name:SIMPSON, NANCY S (MFT)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:S
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 FRITZ COVE RD
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-8505
Mailing Address - Country:US
Mailing Address - Phone:907-463-3610
Mailing Address - Fax:907-463-3720
Practice Address - Street 1:2270 FRITZ COVE RD
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8505
Practice Address - Country:US
Practice Address - Phone:907-463-3610
Practice Address - Fax:907-463-3720
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health