MEDICARE: SIMONE SPEER MS

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	33919	CA

General Provider Information

NPI Number	:	1689184806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMONE SPEER MS

Provider Business Mailing Address
First Line	:	530 DIVISADERO ST # 747
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-2213
Country	:	US
Telephone Number	:	415-545-8354
Fax Number	:

Provider Business Practice Location Address
First Line	:	530 DIVISADERO ST # 747
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-2213
Country	:	US
Telephone Number	:	415-545-8354
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2017
Last Update Date	:	02/27/2025

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Directions to “ SIMONE SPEER MS” Practice Location

Language	Start Address	Practice Location

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