Healthcare Provider Details

I. General information

NPI: 1063886158
Provider Name (Legal Business Name): ANNE B. SIMPSON, PH.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2015
Last Update Date: 11/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 E COLORADO BLVD STE 511
PASADENA CA
91101-2017
US

IV. Provider business mailing address

595 E COLORADO BLVD STE 511
PASADENA CA
91101-2017
US

V. Phone/Fax

Practice location:
  • Phone: 626-375-9733
  • Fax: 626-398-3803
Mailing address:
  • Phone: 626-375-9733
  • Fax: 626-398-3083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNE B SIMPSON
Title or Position: PSYCHOANALYST
Credential: PH.D.
Phone: 626-375-9733