MEDICARE: DR. G. A. JASON 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
1	103T00000X	Psychologist	31973	TX
2	103TC0700X	Clinical Psychologist	071-006115	IL
3	103TH0004X	Health Psychologist	20041521	IN

General Provider Information

NPI Number	:	1982800496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. G. A. JASON SIMPSON PSY.D.

Provider Business Mailing Address
First Line	:	PO BOX 2288
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-0042
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 S CENTRAL EXPY
Second Line	:	SUITE 200
City	:	MCKINNEY
State	:	TX
Zip	:	75070-4070
Country	:	US
Telephone Number	:	972-670-5153
Fax Number	:

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

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	06/27/2016

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