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Organization

MARK SIMPSON PSYD MAC LADC LLC

Active
Other names
Mark S. Simpson
Organization subpart
No

Provider details

NPI number
Authorized official
MARK STEWART SIMPSON PSYD LADC LPCC (OWNER)
(505) 977-9180
Entity
Organization

Contact information

Practice address
2920 CARLISLE BLVD NE STE G, ALBUQUERQUE, NM 87110-2867
(505) 977-9180
(505) 792-7982
Mailing address
2920 CARLISLE BLVD NE STE G, ALBUQUERQUE, NM 87110-2867
(505) 977-9180
(505) 792-7982

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
02/13/2019
Last updated
02/13/2019
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