Organization
MARK SIMPSON PSYD MAC LADC LLC
Active
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
3620 WYOMING BLVD NE STE 112, ALBUQUERQUE, NM 87111-3288
(505) 977-9180
(505) 214-5897
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
—
—
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
07/02/2026
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