Individual
MARY ANN SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1912 MEMORIAL AVE, LYNCHBURG, VA 24501
(434) 845-8765
(434) 845-5467
Mailing address
1912 MEMORIAL AVE, LYNCHBURG, VA 24501
(434) 845-8765
(434) 845-5467
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396706065
—
VA
01
—
1720111404
ANTHEM
VA
01
—
496612
MEDICARE
VA
Enumeration date
10/13/2010
Last updated
06/02/2011
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