Individual
SHELBY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7025 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-2761
(757) 974-8282
Mailing address
1525 E PASS RD APT 328, GULFPORT, MS 39507-3551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202012460
VA
235Z00000X
Speech-Language Pathologist
5263
MS
235Z00000X
Speech-Language Pathologist
S-5388
MS
Other
Enumeration date
08/12/2024
Last updated
07/29/2026
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