Provider Demographics
NPI:1831673284
Name:SIMPSON, CLAUDIA MARIE
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:MARIE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 BELLE VUE WAY APT 221
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32304-4111
Mailing Address - Country:US
Mailing Address - Phone:253-306-2177
Mailing Address - Fax:
Practice Address - Street 1:130 LANIER DR APT 1118
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-8030
Practice Address - Country:US
Practice Address - Phone:253-306-2177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-21
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer