Individual
MARISSA DANIELLE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S GALLAHER VIEW RD STE 105, KNOXVILLE, TN 37919-5302
(865) 328-7410
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8532
TN
Other
Enumeration date
07/24/2023
Last updated
10/10/2023
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