Provider Demographics
NPI:1669486478
Name:SIMARI, BETH ANNE (MA CCC-SLP/L)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:ANNE
Last Name:SIMARI
Suffix:
Gender:F
Credentials:MA CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:HILLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16132-0116
Mailing Address - Country:US
Mailing Address - Phone:724-651-7966
Mailing Address - Fax:724-667-7433
Practice Address - Street 1:3527 EAST MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16132-0116
Practice Address - Country:US
Practice Address - Phone:724-651-7966
Practice Address - Fax:724-667-7433
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL006197L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist