Provider Demographics
NPI:1710077730
Name:SIMS, NATALIE ROSE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ROSE
Last Name:SIMS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4509 ROSEMONT DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-7460
Mailing Address - Country:US
Mailing Address - Phone:501-753-0331
Mailing Address - Fax:
Practice Address - Street 1:4509 ROSEMONT DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-7460
Practice Address - Country:US
Practice Address - Phone:501-753-0331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP7900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist