Provider Demographics
NPI:1861410920
Name:SIMMONS, DONNA M (MCD)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 S OSPREY AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3820
Mailing Address - Country:US
Mailing Address - Phone:941-955-3277
Mailing Address - Fax:941-951-1152
Practice Address - Street 1:2003 S OSPREY AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3820
Practice Address - Country:US
Practice Address - Phone:941-955-3277
Practice Address - Fax:941-951-1152
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY255231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist