Individual
DALE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1370 E VENICE AVE, STE 209, VENICE, FL 34285-9082
(941) 363-0878
Mailing address
1370 E VENICE AVE, STE 209, VENICE, FL 34285-9082
(941) 363-0878
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY3944
FL
Other
Enumeration date
05/20/2006
Last updated
08/26/2014
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