Provider Demographics
NPI:1699108217
Name:SIMPSON, SHERDENE ANDREA (PCC,MFT)
Entity type:Individual
Prefix:MRS
First Name:SHERDENE
Middle Name:ANDREA
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:PCC,MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10900 PEARL RD
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-3349
Mailing Address - Country:US
Mailing Address - Phone:440-268-8422
Mailing Address - Fax:
Practice Address - Street 1:10900 PEARL RD
Practice Address - Street 2:SUITE C-1
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-3349
Practice Address - Country:US
Practice Address - Phone:440-268-8422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0600625101YP2500X
OHM1300016106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist