Provider Demographics
NPI:1104312990
Name:SIMMONS, ALLISON MOBLEY (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MOBLEY
Last Name:SIMMONS
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 1:119 ROUEN LN
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-6980
Mailing Address - Country:US
Mailing Address - Phone:803-840-0876
Mailing Address - Fax:
Practice Address - Street 1:3579 FRANKLIN TOWER DR
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-9383
Practice Address - Country:US
Practice Address - Phone:843-648-2946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5635235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist