Miranda M Moore M.S., CCC-SLP

NPI 1619126679 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1619126679
Gender Female
Enumeration Date 09/15/2008
Last Updated 09/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2100 STANTONSBURG RD
GREENVILLE NC, 27834-2818, US
Phone (252) 847-4100
Fax
Business Location
14320 COUNTY ROAD 150
HAMLIN TX, 79520-6008, US
Phone (817) 903-4578
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State California
License Number 15662
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According to our database, Miranda M Moore M.S., CCC-SLP NPI is 1619126679, taxonomy code is 235Z00000X and license number is 15662, license state is located at California. Miranda M Moore M.S., CCC-SLP physically located at 2100 Stantonsburg Rd, Greenville NC, 27834-2818. NPI Number Miranda M Moore M.S., CCC-SLP has the Individual type.

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1619126679 NPI number is provided on an as is basis without warranty of any kind. 1619126679 is maintained by the National Plan & Provider Enumeration System. The contents of Miranda M Moore M.S., CCC-SLP are for informational purposes only.