Provider Demographics
NPI:1962192591
Name:SIMMS, AYLA ELIZABETH (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:AYLA
Middle Name:ELIZABETH
Last Name:SIMMS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 S 11TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-1249
Mailing Address - Country:US
Mailing Address - Phone:303-668-3096
Mailing Address - Fax:
Practice Address - Street 1:2425 S ALDER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-3625
Practice Address - Country:US
Practice Address - Phone:303-668-3096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL016393235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist