Provider Demographics
NPI:1679956155
Name:SIMS, REBECCA MARIE (AUD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:MARIE
Last Name:SIMS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 29TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1302
Mailing Address - Country:US
Mailing Address - Phone:515-267-1800
Mailing Address - Fax:515-267-8857
Practice Address - Street 1:1455 29TH ST
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1302
Practice Address - Country:US
Practice Address - Phone:515-267-1800
Practice Address - Fax:515-267-8857
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0000000231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist