| Doctor Name: | BODHI J. SIMPSON |
| NPI Number: | 1154490464 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | CC3334 |
| Business Practice Address: | 93 Silver St Waterville, ME - 049015923 |
| Business Phone Number: | 2078734253 |
| Business Fax Number: | 2078727548 |
| Mailing Address: | 93 Silver St, WATERVILLE |
| State: | ME |
| Postal Code: | 049015923 |
| Phone Number: | 2078734253 |
| Fax Number: | 2078727548 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 04/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC3334 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |