| NPI | 1124584313 |
|---|---|
| Doing Business As | MARK S. SIMPSON |
| Entity Type | Organization |
| Authorized Contact | MARK STEWART SIMPSON Owner 505-977-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |