Provider Demographics
NPI:1033506746
Name:SIMMS, SARAH NICOLE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE
Last Name:SIMMS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9028 E PALMS PARK DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-5645
Mailing Address - Country:US
Mailing Address - Phone:859-250-4444
Mailing Address - Fax:
Practice Address - Street 1:205 W GIACONDA WAY STE 135
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4350
Practice Address - Country:US
Practice Address - Phone:520-329-8830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist