Individual
STORM MARIE SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 SE BLUE PKWY, LEES SUMMIT, MO 64063-1007
(816) 554-0101
Mailing address
8301 SAGAMORE RD, LEAWOOD, KS 66206-1543
(913) 449-5819
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015007153
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14387131
CAQH
—
Enumeration date
01/07/2019
Last updated
01/07/2019
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