Provider Demographics
NPI:1306110044
Name:NEFF, SKYLEE SIMMONS (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SKYLEE
Middle Name:SIMMONS
Last Name:NEFF
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13172 BRICKSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-5715
Mailing Address - Country:US
Mailing Address - Phone:801-717-6639
Mailing Address - Fax:
Practice Address - Street 1:13172 BRICKSHIRE LN
Practice Address - Street 2:
Practice Address - City:HERRIMAN
Practice Address - State:UT
Practice Address - Zip Code:84096-5715
Practice Address - Country:US
Practice Address - Phone:801-717-6639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8249879-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist