MEDICARE: MICHELLE SIMPSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY200001391	DC

General Provider Information

NPI Number	:	1205771144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE SIMPSON

Provider Business Mailing Address
First Line	:	1200 FIRST ST APT 535
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-1681
Country	:	US
Telephone Number	:	909-838-7315
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 FIRST ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-1676
Country	:	US
Telephone Number	:	909-838-7315
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ MICHELLE SIMPSON ” Practice Location

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