Individual
SHELBY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4262 POPPS FERRY RD STE B, DIBERVILLE, MS 39540-2391
(601) 775-4228
Mailing address
1525 E PASS RD APT 328, GULFPORT, MS 39507-3551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5263
MS
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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