Provider Demographics
NPI:1356532493
Name:SIMPSON, BARBARA ELLEN (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ELLEN
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LEO A. HOFFMANN CENTER, INC.
Mailing Address - Street 2:1715 SHEPPARD DRIVE
Mailing Address - City:SAINT PETER
Mailing Address - State:MN
Mailing Address - Zip Code:56082-0060
Mailing Address - Country:US
Mailing Address - Phone:507-934-6122
Mailing Address - Fax:507-934-2594
Practice Address - Street 1:LEO A. HOFFMANN CENTER, INC.
Practice Address - Street 2:1715 SHEPPARD DRIVE
Practice Address - City:SAINT PETER
Practice Address - State:MN
Practice Address - Zip Code:56082-0060
Practice Address - Country:US
Practice Address - Phone:507-934-6122
Practice Address - Fax:507-934-2594
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0049103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical