Ileana M Simien

Individual provider Active NPI Speech-Language Pathologist · Beaumont, TX

NPI 1275411100 · NPPES record last updated Aug 27, 2025

Key facts

NPI
1275411100
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
121577 (TX)
Practice address
3395 Harrison Ave
Beaumont, TX 77706-5009
Phone
(409) 617-5000
NPI assigned
Aug 27, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
121577TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 121577 TX Yes

Addresses

Primary practice location

3395 Harrison Ave
Beaumont, TX 77706-5009

Mailing address

2565 Long St
Beaumont, TX 77702-1611
Phone (832) 889-1035

Other providers in Beaumont, TX

All providers in Beaumont, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.