Doctor Name: | MS. TRACY ANN SIMMONS |
NPI Number: | 1164728457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 7110941 |
Business Practice Address: | 8201 E Seneca Tpke Manlius, NY - 131042103 |
Business Phone Number: | 3156921203 |
Business Fax Number: | |
Mailing Address: | 7582 Highbridge Rd, MANLIUS |
State: | NY |
Postal Code: | 131041611 |
Phone Number: | 3156824663 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2011 |
NPI Last Update Date: | 02/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7110941 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |