Provider Demographics
NPI:1144569542
Name:GREGOIRE, SIMONE J (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SIMONE
Middle Name:J
Last Name:GREGOIRE
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 1:11800 STERLINGHILL DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-3833
Mailing Address - Country:US
Mailing Address - Phone:512-582-2588
Mailing Address - Fax:512-870-9743
Practice Address - Street 1:11800 STERLINGHILL DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-3833
Practice Address - Country:US
Practice Address - Phone:512-582-2588
Practice Address - Fax:512-870-9743
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105240235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist