Healthcare Provider Details

I. General information

NPI: 1396162897
Provider Name (Legal Business Name): MRS. LYNDSEY DAWN SIMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2014
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 GROVE ST
NORWAY ME
04268-5610
US

IV. Provider business mailing address

65 EVERETT RD
POLAND ME
04274-6323
US

V. Phone/Fax

Practice location:
  • Phone: 207-739-2242
  • Fax:
Mailing address:
  • Phone: 207-212-9377
  • Fax: 207-782-1734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT2909
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: