Healthcare Provider Details

I. General information

NPI: 1952072795
Provider Name (Legal Business Name): MCKENZIE SIMMLER BARREAU M.S. CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MCKENZIE SIMMLER

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 OAK MOUNTAIN COMMONS LN
PELHAM AL
35124-1484
US

IV. Provider business mailing address

3105 INDEPENDENCE DR STE 105
BIRMINGHAM AL
35209-4111
US

V. Phone/Fax

Practice location:
  • Phone: 321-537-0166
  • Fax:
Mailing address:
  • Phone: 205-803-2210
  • Fax: 205-803-2214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5982
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: