Provider Demographics
NPI:1790972776
Name:SIMS, ELWIN LAWSON (MS,CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:ELWIN
Middle Name:LAWSON
Last Name:SIMS
Suffix:
Gender:M
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 1:2731 GREGWAY LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2929
Mailing Address - Country:US
Mailing Address - Phone:281-261-8101
Mailing Address - Fax:
Practice Address - Street 1:2731 GREGWAY LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2929
Practice Address - Country:US
Practice Address - Phone:281-261-8101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13330235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist