Individual
DR. JOHN CHILDS SIMPSON, 111
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
121 GREENWICH RD, SUITE 215, CHARLOTTE, NC 28211-2355
(704) 362-7007
(704) 362-7007
Mailing address
121 GREENWICH RD, SUITE 215, CHARLOTTE, NC 28211-2355
(704) 362-7007
(704) 362-7007
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0745
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04674
BLUE CROSS BLUE SHIELD
NC
05
—
6001077
—
NC
Enumeration date
06/09/2006
Last updated
11/05/2009
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