Individual
MRS. DONNA ELLEN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SPL
Contact information
Practice address
649 S WALNUT ST, SAINT ELIZABETH, MO 65075-2440
(573) 493-2215
Mailing address
3605 COUNTY ROAD 4022, HOLTS SUMMIT, MO 65043-1924
(573) 295-4381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117825
MO
Other
Enumeration date
10/21/2012
Last updated
10/21/2012
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