Doctor Name: | JOY SIMMONS |
NPI Number: | 1144592551 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 3616-154 |
Business Practice Address: | 2448 S 102nd St Suite 340 West Allis, WI - 532272466 |
Business Phone Number: | 4143292500 |
Business Fax Number: | 4143292501 |
Mailing Address: | 6700 N Port Washington Rd, GLENDALE |
State: | WI |
Postal Code: | 532173919 |
Phone Number: | 4143518850 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2012 |
NPI Last Update Date: | 01/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3616-154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |