| Doctor Name: | JUDY ANN SIMON |
| NPI Number: | 1083762439 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SPEECH LANG PATHOLOG |
| License Number: | LL00003971 |
| Business Practice Address: | 3710 Sw Us Veterans Hospital Rd Portland Va Medical Center Portland, OR - 972392964 |
| Business Phone Number: | 5032208262 |
| Business Fax Number: | |
| Mailing Address: | 4560 Se International Way, MILWAUKIE |
| State: | OR |
| Postal Code: | 97222 |
| Phone Number: | 9712065140 |
| Fax Number: | 9712065209 |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 12/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL00003971 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| 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 |