Individual
GARY A SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,CCC-SLP
Contact information
Practice address
14511 HEARTHSIDE CT, LOUISVILLE, KY 40245-3953
(502) 807-8711
Mailing address
14511 HEARTHSIDE CT, LOUISVILLE, KY 40245-3953
(502) 807-8711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2042
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042
LICENSE
KY
Enumeration date
06/18/2007
Last updated
07/08/2007
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