Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mirella Lidia Simon

Individual provider Speech-Language Pathologist · NPI 1447135801

Mirella Lidia Simon is a Speech-Language Pathologist in Tracy, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2185 W Grant Line Rd
Tracy, CA 95377-7309
Phone: (209) 839-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1447135801
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address8351 Pinot Grigio St, Roseville, CA 95747-6680

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