Provider Demographics
NPI:1528277696
Name:SIMPSON, GOLNAR A (PHD)
Entity type:Individual
Prefix:
First Name:GOLNAR
Middle Name:A
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:GOLNAR
Other - Middle Name:A
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DSW
Mailing Address - Street 1:4073 RIDGEVIEW CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-5809
Mailing Address - Country:US
Mailing Address - Phone:703-536-2096
Mailing Address - Fax:
Practice Address - Street 1:1320 OLD CHAIN BRIDGE ROAD
Practice Address - Street 2:SUITE 310
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3919
Practice Address - Country:US
Practice Address - Phone:703-356-3033
Practice Address - Fax:703-536-5587
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040000931041C0700X
DCLC3012601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical