MEDICARE: SIM SPEECH THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1396592523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIM SPEECH THERAPY LLC

Provider Business Mailing Address
First Line	:	6418 E JENAN DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-5054
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6418 E JENAN DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-5054
Country	:	US
Telephone Number	:	480-779-7866
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	MS. SASHA MILUTINOVIC
Credential	:
Telephone Number	:	480-779-7866

Provider Enumeration Date	:	05/06/2024
Last Update Date	:	12/11/2025

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Directions to “SIM SPEECH THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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