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NPI Code Detail

MEDICARE: HEATHER RAE SIMPSON

MEDICARE: HEATHER RAE 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
1235Z00000XSpeech-Language Pathologist107073TX

General Provider Information

NPI Number : 1487931168
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER RAE SIMPSON
Provider Business Mailing Address
First Line : 9660 BARTLETT CIR STE 716
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-4465
Country : US
Telephone Number : 817-717-3800
Fax Number :
Provider Business Practice Location Address
First Line : 9660 BARTLETT CIR STE 716
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-4465
Country : US
Telephone Number : 817-717-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2011
Last Update Date : 12/01/2025

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Directions to “ HEATHER RAE SIMPSON ” Practice Location

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