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NPI Code Detail

MEDICARE: DIANA LYNN SIMPSON LPC

MEDICARE: DIANA LYNN SIMPSON LPC
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
1101Y00000XCounselor6401011292MI

General Provider Information

NPI Number : 1770726663
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA LYNN SIMPSON LPC
Provider Business Mailing Address
First Line : 5439 N SILVERSTONE DR NE
Second Line :
City : COMSTOCK PARK
State : MI
Zip : 49321-9632
Country : US
Telephone Number : 616-648-1566
Fax Number :
Provider Business Practice Location Address
First Line : 3424 CHICAGO DR STE 205
Second Line :
City : HUDSONVILLE
State : MI
Zip : 49426-1411
Country : US
Telephone Number : 616-426-9034
Fax Number : 616-404-4103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2009
Last Update Date : 12/18/2022

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