Provider Demographics
NPI:1447351846
Name:SIMPSON, ROBERT C (PH D LMFT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:PH D LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2907 KERRY FOREST PKWY
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-6825
Mailing Address - Country:US
Mailing Address - Phone:850-668-3380
Mailing Address - Fax:850-893-0019
Practice Address - Street 1:2907 KERRY FOREST PKWY
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-6825
Practice Address - Country:US
Practice Address - Phone:850-668-3380
Practice Address - Fax:850-893-0019
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT536106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist