Individual
NICOLE SIMERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 E MARION ST, SOUTH BEND, IN 46601-1029
(574) 233-0165
Mailing address
6034 S BRIDGETON LN, SOUTH BEND, IN 46614-6364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46003388A
IN
Other
Enumeration date
08/26/2018
Last updated
08/26/2018
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