Doctor Name: | MAYA SIMMONS |
NPI Number: | 1083022883 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP008508 |
Business Practice Address: | 3985 Steve Reynolds Blvd Building G Norcross, GA - 300933035 |
Business Phone Number: | 7706222532 |
Business Fax Number: | |
Mailing Address: | 3985 Steve Reynolds Blvd, Building G NORCROSS |
State: | GA |
Postal Code: | 300933035 |
Phone Number: | 7706222532 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2014 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP008508 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |