| Doctor Name: | MRS. SANDRA LEA SIMON |
| NPI Number: | 1376897272 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPA.,CCC-SLP |
| License Number: | LL60312910 |
| Business Practice Address: | 5200 Turkington Rd Acme, WA - 98220 |
| Business Phone Number: | 3603832012 |
| Business Fax Number: | |
| Mailing Address: | 1820 Samish Ln, BELLINGHAM |
| State: | WA |
| Postal Code: | 982299321 |
| Phone Number: | 3606760165 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2012 |
| NPI Last Update Date: | 10/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL60312910 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |