Individual
BETTY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3201 4TH ST, UNION GAP, WA 98903-1832
(509) 248-3966
Mailing address
3201 4TH ST, UNION GAP, WA 98903-1832
(509) 248-3966
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00003213
WA
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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