Provider Demographics
NPI:1558246603
Name:SIMPSON, INA (PHD)
Entity type:Individual
Prefix:
First Name:INA
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2144 LAKESHORE DR APT 12B
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-1029
Mailing Address - Country:US
Mailing Address - Phone:973-652-0978
Mailing Address - Fax:
Practice Address - Street 1:2144 LAKESHORE DR APT 12B
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-1029
Practice Address - Country:US
Practice Address - Phone:973-652-0978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist