Individual
SIMON CARL SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
6500 GREELEY AVE, KANSAS CITY, KS 66104-2647
(913) 299-8955
Mailing address
6500 GREELEY AVE, KANSAS CITY, KS 66104-2647
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3210
KS
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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