Provider Demographics
NPI:1841610268
Name:SIMMONS, LINDSEY NOEL
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:NOEL
Last Name:SIMMONS
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:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:OK
Mailing Address - Zip Code:74365-0098
Mailing Address - Country:US
Mailing Address - Phone:919-434-5300
Mailing Address - Fax:918-434-6051
Practice Address - Street 1:907 SALTWELL
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:OK
Practice Address - Zip Code:74365
Practice Address - Country:US
Practice Address - Phone:918-434-5300
Practice Address - Fax:918-434-6051
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4074235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK12150377OtherASHA CERTIFICATION