Provider Demographics
NPI:1629275086
Name:CORMIER, SEMONIA CHERI
Entity Type:Individual
Prefix:MS
First Name:SEMONIA
Middle Name:CHERI
Last Name:CORMIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 E COMMON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3584
Mailing Address - Country:US
Mailing Address - Phone:210-787-1583
Mailing Address - Fax:210-921-0009
Practice Address - Street 1:2660 E COMMON ST
Practice Address - Street 2:SUITE 101
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3584
Practice Address - Country:US
Practice Address - Phone:210-787-1583
Practice Address - Fax:210-921-0009
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19986235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX19986OtherLICENSE NUMBER