Individual
DANA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
2108 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1316
(850) 862-3728
Mailing address
2108 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1316
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-16-17932
NM
235Z00000X
Speech-Language Pathologist
Primary
SZ8687
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2017
Last updated
08/02/2018
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