Kimberly Diane Moore MS CCCSLP

NPI 1134258858 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1134258858
Gender Female
Enumeration Date 03/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6508 GUNN HIGHWAY
TAMPA FL, 33625-4022, US
Phone (813) 963-6923
Fax (813) 264-0768
Business Location
6508 GUNN HIGHWAY
INDEPENDENT LIVING INC
TAMPA FL, 33625-4022, US
Phone (813) 963-6923
Fax (813) 264-0768
Toxanomy
Taxonomy Code 235Z00000X
License State Florida
License Number SA6405
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According to our database, Mrs. Kimberly Diane Moore MS CCCSLP NPI is 1134258858, taxonomy code is 235Z00000X and license number is SA6405, license state is located at Florida. Kimberly Diane Moore MS CCCSLP physically located at 6508 Gunn Highway, Tampa FL, 33625-4022. NPI Number Kimberly Diane Moore MS CCCSLP has the Individual type.

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1134258858 NPI number is provided on an as is basis without warranty of any kind. 1134258858 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Diane Moore MS CCCSLP are for informational purposes only.