Individual
JOSEY SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
1333 N 24TH ST APT 243, PHOENIX, AZ 85008-4676
(224) 504-9153
Mailing address
1333 N 24TH ST APT 243, PHOENIX, AZ 85008-4676
(224) 504-9153
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP11158
AZ
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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