Simmons, Heather Marie

Simmons, Heather Marie is an sole proprietor health care provider with primary practice located at 303 Pineview Dr , Waycross GA 31501-5229. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Simmons, Heather Marie can be contacted via phone (912) 283-0777.

Contact Information

Primary practice address
303 Pineview Dr Waycross GA 31501-5229
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP008050 Georgia

Profile Details

NPI number 1033454756
LBN Legal business name Simmons, Heather Marie
Credentials M.ED., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2012
Last updated Sep 19th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033454756 NPPES
Georgia MEDICAID 003130506B

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