Provider Demographics
NPI:1174680060
Name:SIMPSON-HAMILTON, PAIGE COLLINS (PSYD)
Entity type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:COLLINS
Last Name:SIMPSON-HAMILTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1696 MASSACHUSETTS AVE
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1803
Mailing Address - Country:US
Mailing Address - Phone:617-835-3225
Mailing Address - Fax:617-864-0538
Practice Address - Street 1:1696 MASSACHUSETTS AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1803
Practice Address - Country:US
Practice Address - Phone:617-835-3225
Practice Address - Fax:617-864-0538
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8109103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW06252OtherBLUE CROSS BLUE SHIELD MA
MAW06252OtherBLUE CROSS BLUE SHIELD MA