Doctor Name: | STEVEN LEE SIMON |
NPI Number: | 1437217387 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SPEECH & LANGUAGE PA |
License Number: | SP3863 |
Business Practice Address: | South Bay Vocational Center 126 W 240th St Harbor City, CA - 907101309 |
Business Phone Number: | 3107842032 |
Business Fax Number: | 3105396342 |
Mailing Address: | 8767 Lookout Mountain Ave, LOS ANGELES |
State: | CA |
Postal Code: | 900461861 |
Phone Number: | 3236508453 |
Fax Number: | 3236508453 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP3863 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |