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Individual

MR. MARK STEWART SIMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD, LADAC

Contact information

Practice address
3620 WYOMING BLVD NE STE 112, ALBUQUERQUE, NM 87111-3288
(505) 977-9180
(505) 214-5897
Mailing address
4026 PLAZA COLINA NE, RIO RANCHO, NM 87124-4785
(505) 977-9180
(505) 214-5897

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0081081
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAD0081081
NM
103T00000X
Psychologist
0930
NM
103TC0700X
Clinical Psychologist
Primary
0930
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
PSY-RXP0067
NM

Other

Enumeration date
09/14/2005
Last updated
03/02/2026
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