Individual
MRS. STACEY H SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC -SLP
Contact information
Practice address
190 PARK AVE, MORRISTOWN, NJ 07960-4649
(973) 292-6555
Mailing address
390 PENNS WAY, BASKING RIDGE, NJ 07920-3063
(908) 542-1005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41Y00243000
NJ
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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