Individual
JOHNA RENAE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
509 SMITH RD, GLADE HILL, VA 24092-4066
(540) 855-8089
Mailing address
509 SMITH RD, GLADE HILL, VA 24092-4066
(540) 855-8089
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004274
VA
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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