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Contact Information

MARK SIMPSON PSYD MAC LADC LLC
2920 CARLISLE BLVD NE STE G
ALBUQUERQUE, NM87110-2867
 Phone: 505-977-9180
 Fax: 505-792-7982
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARK SIMPSON PSYD MAC LADC LLC

NPI Number 1124584313
LBN Legal business name MARK SIMPSON PSYD MAC LADC LLC
Authorized official MARK SIMPSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2019
Last updated 02/13/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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