MEDICARE: DR. NANCY SIMPSON PHD

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	101YP2500X	Professional Counselor	18319	TX

General Provider Information

NPI Number	:	1255573861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY SIMPSON PHD

Provider Business Mailing Address
First Line	:	10811 OAK CREEK ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3016
Country	:	US
Telephone Number	:	713-827-8206
Fax Number	:	713-827-1080

Provider Business Practice Location Address
First Line	:	11211 KATY FWY
Second Line	:	SUITE 320
City	:	HOUSTON
State	:	TX
Zip	:	77079-2126
Country	:	US
Telephone Number	:	713-365-0700
Fax Number	:	713-827-1080

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

Provider Enumeration Date	:	03/27/2009
Last Update Date	:	03/27/2009

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