Provider Demographics
NPI:1952626160
Name:SIMS, DAWN (DAWN SIMS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:DAWN SIMS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 STAR GRASS DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5781
Mailing Address - Country:US
Mailing Address - Phone:954-980-7773
Mailing Address - Fax:
Practice Address - Street 1:1203 W PIONEER PKWY
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6246
Practice Address - Country:US
Practice Address - Phone:682-867-4611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107414235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81S582OtherBLUE CROSS BLUE SHIELD
TX288505501Medicaid