Provider Demographics
NPI:1417724980
Name:SIMONS, SHERRY (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:
Last Name:SIMONS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:CHRISTIANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2600 24TH AVENUE CT
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-6926
Mailing Address - Country:US
Mailing Address - Phone:970-348-3059
Mailing Address - Fax:
Practice Address - Street 1:2600 24TH AVENUE CT
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-6926
Practice Address - Country:US
Practice Address - Phone:970-348-3059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO316109235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist