Basic Information
| Provider Information | |||||||||
| NPI: | 1982337341 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARAUJO | ||||||||
| FirstName: | SIMONE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 274 S BEACON ST | ||||||||
| Address2: | |||||||||
| City: | FALL RIVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027241535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5084969927 | ||||||||
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| Practice Location | |||||||||
| Address1: | 801 PLEASANT ST | ||||||||
| Address2: | |||||||||
| City: | BROCKTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 023013052 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5085865977 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2022 | ||||||||
| LastUpdateDate: | 07/05/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2355S0801X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant |
No ID Information.