| Doctor Name: | DR. BERT KIRBY SIMPSON |
| NPI Number: | 1679804199 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 5357 Yankee Canyon Dr Lake Isabella, CA - 93204 |
| Business Phone Number: | 7604172560 |
| Business Fax Number: | 7603794296 |
| Mailing Address: | 5357 Yankee Canyon Dr, LAKE ISABELLA |
| State: | CA |
| Postal Code: | 932409525 |
| Phone Number: | 7604172560 |
| Fax Number: | 7603794296 |
| NPI Enumeration Date: | 01/22/2010 |
| NPI Last Update Date: | 01/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |