Individual
NICOLE LEE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2321 S 3RD ST W, MISSOULA, MT 59801-1332
(406) 214-3131
Mailing address
430 PLYMOUTH ST, MISSOULA, MT 59801-4133
(312) 714-2568
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-7392
MT
Other
Enumeration date
12/04/2018
Last updated
08/18/2021
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