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General NPI Number Information
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NPI Number | 1003529488
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Entity Type | Individual
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Provider Name | BRARYSHEYIA SIMPSON PSYD, LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/02/2023
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 10850 W PARK PL STE 100
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City | MILWAUKEE
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State | WI
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Zip | 53224-3636
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Country | US
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Telephone | 414-361-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 6700 W NATIONAL AVE APT W303
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City | WEST ALLIS
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State | WI
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Zip | 53214-4993
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Country | US
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Telephone | 254-400-6536
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5480-57
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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