Doctor Name: | MS. ANNA LEAH SIMPSON |
NPI Number: | 1023354123 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, NCC |
License Number: | |
Business Practice Address: | 334 Ne Irving Avenue Bend, OR - 97701 |
Business Phone Number: | 5417283258 |
Business Fax Number: | |
Mailing Address: | 1641 Nw 4th, BEND |
State: | OR |
Postal Code: | 97701 |
Phone Number: | 5417283258 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2012 |
NPI Last Update Date: | 12/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |