Individual
MICHELLE B SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 PLANTATION RD, DESTREHAN, LA 70047-3017
(985) 764-1275
Mailing address
130 PLANTATION RD, DESTREHAN, LA 70047-3017
(504) 401-2244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2940
LA
235Z00000X
Speech-Language Pathologist
2940
MH
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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