Provider Demographics
NPI:1871849711
Name:SIMEO, CARRIE CATHLEEN (AUD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:CATHLEEN
Last Name:SIMEO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:C.
Other - Middle Name:CATHLEEN
Other - Last Name:SIMEO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:5525 E 51ST ST
Mailing Address - Street 2:STE 500
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-7461
Mailing Address - Country:US
Mailing Address - Phone:918-388-6644
Mailing Address - Fax:
Practice Address - Street 1:5525 E 51ST ST
Practice Address - Street 2:STE 500
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-7461
Practice Address - Country:US
Practice Address - Phone:918-388-6644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3956231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist