Individual provider · Type 1 NPI

Mirella Lidia Simon

Speech-Language Pathologist · Tracy, CA

NPI number 1447135801 Active

Practice location

2185 W Grant Line Rd
Tracy, CA 95377-7309

Mailing address

8351 Pinot Grigio St
Roseville, CA 95747-6680

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1447135801

Mirella Lidia Simon's National Provider Identifier is 1447135801, issued on Aug 6, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Tracy, CA. The record was last updated on Aug 6, 2025.