| Michael Simpson, Ph.d., Pa | |
|
449 Bontona Ave Fort Lauderdale FL 33301-2419 | |
| (954) 217-3966 | |
| (800) 921-4580 |
| Full Name | Michael Simpson, Ph.d., Pa |
|---|---|
| Speciality | Psychologist |
| Location | 449 Bontona Ave, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Michael Simpson (PSYCHOLOGIST) |
| Authorized Official Contact | 9542173966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Simpson, Ph.d., Pa 378 Coconut Cir Weston FL 33326-3317 Ph: (954) 557-8400 | Michael Simpson, Ph.d., Pa 449 Bontona Ave Fort Lauderdale FL 33301-2419 Ph: (954) 217-3966 |
| NPI Number | 1750611877 |
|---|---|
| Provider Enumeration Date | 01/12/2010 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Medicare PECOS PAC ID | 3375676463 |
|---|---|
| Medicare Enrollment ID | O20100726000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750611877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (Florida) | Primary |
| Provider Name | Michael Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790878395 PECOS PAC ID: 4385777481 Enrollment ID: I20100903000715 |
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