1013455849 NPI number — SIMPSON SPEECH AND LANGUAGE THERAPY SERVICES, PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013455849 NPI number — SIMPSON SPEECH AND LANGUAGE THERAPY SERVICES, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SIMPSON SPEECH AND LANGUAGE THERAPY SERVICES, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013455849
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/26/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2405 TULARE ST STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRESNO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93721-2207
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-797-1873
Provider Business Mailing Address Fax Number:
559-354-8252

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2405 TULARE ST STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93721-2207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-797-1873
Provider Business Practice Location Address Fax Number:
559-472-3076
Provider Enumeration Date:
01/31/2017

Additional Information

Authorized Official

Authorized Official Last Name:
SIMPSON
Authorized Official First Name:
NORIKO
Authorized Official Middle Name:
KRISTEN
Authorized Official Title or Position:
OWNER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
559-859-3362

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  21278 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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