Doctor Name: | MR. DAVID SIMMONS |
NPI Number: | 1003060112 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP |
License Number: | 3116 |
Business Practice Address: | 921 Bowman Rd Mt Pleasant, SC - 294643211 |
Business Phone Number: | 8438812916 |
Business Fax Number: | |
Mailing Address: | 1423 Ashley River Rd, 3d CHARLESTON |
State: | SC |
Postal Code: | 294075368 |
Phone Number: | 8435329504 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2008 |
NPI Last Update Date: | 11/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |