Individual
STACEY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-A
Contact information
Practice address
27301 SCHOENHERR RD STE 105, WARREN, MI 48088-6649
(586) 756-4009
(586) 756-3855
Mailing address
7577 WINDGATE CIR, WEST BLOOMFIELD, MI 48323-3911
(248) 926-1586
(248) 926-1586
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000169
MI
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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