Provider Demographics
NPI:1053431999
Name:SIMPSON, AL ROSEN (LMHC)
Entity type:Individual
Prefix:MR
First Name:AL
Middle Name:ROSEN
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CURTIS ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01905-1129
Mailing Address - Country:US
Mailing Address - Phone:617-899-4357
Mailing Address - Fax:781-483-3321
Practice Address - Street 1:22 MILL ST
Practice Address - Street 2:SUITE 305
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4784
Practice Address - Country:US
Practice Address - Phone:781-483-3320
Practice Address - Fax:781-483-3321
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5857101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM1308OtherBCBSMA