| NPI | 1710110416 |
|---|---|
| Former Name | ERIC LEE SIMPSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 28885) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2014033687) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2017-02-16 |