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NPI Code Detail

MEDICARE: SARA LEDERER SIMPSON PSY.D.

MEDICARE:   SARA LEDERER SIMPSON  PSY.D.
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
1103TC0700XClinical PsychologistPSY23416CA
2390200000XStudent in an Organized Health Care Education/Training Program
3103T00000XPsychologistPSY25416CA

General Provider Information

NPI Number : 1740328111
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA LEDERER SIMPSON PSY.D.
Provider Business Mailing Address
First Line : 5961 NORA LYNN DR
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-1056
Country : US
Telephone Number : 310-663-6736
Fax Number :
Provider Business Practice Location Address
First Line : 5961 NORA LYNN DR
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-1056
Country : US
Telephone Number : 310-663-6736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 09/28/2022

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Directions to “ SARA LEDERER SIMPSON PSY.D.” Practice Location

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