Individual
MS. CARISSA CONNIE SIMONSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
58581 865 RD, ALLEN, NE 68710-5084
(928) 781-6721
Mailing address
58581 865 RD, ALLEN, NE 68710-5084
(402) 369-3593
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1277
AZ
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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