Provider Demographics
NPI:1700801891
Name:SIMPSON, MARY KATHERINE (APRN-PMHNP, BC)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:KATHERINE
Last Name:SIMPSON
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Gender:F
Credentials:APRN-PMHNP, BC
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Mailing Address - Street 1:203 S WILSON ST
Mailing Address - Street 2:P.O. BOX 170
Mailing Address - City:BELLS
Mailing Address - State:TX
Mailing Address - Zip Code:75414-2462
Mailing Address - Country:US
Mailing Address - Phone:903-583-6410
Mailing Address - Fax:903-583-6226
Practice Address - Street 1:1201 E 9TH ST BLDG 1
Practice Address - Street 2:MENTAL HEALTH CLINIC
Practice Address - City:BONHAM
Practice Address - State:TX
Practice Address - Zip Code:75418-4059
Practice Address - Country:US
Practice Address - Phone:903-583-6410
Practice Address - Fax:903-583-6226
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TX609597363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health