Athena Marie Moon in Tampa - Speech-language Pathologist
Athena Marie Moon - NPI 1295877405
Athena Marie Moon is a Speech-language Pathologist in Tampa, Florida. Athena Marie Moon practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Athena Marie Moon is 1295877405. The last update date is 2007-07-08.
Athena Marie Moon's current location address is 3450 Palencia Dr Apt 2017, Tampa, Florida. You can contact this provider via phone number 2524123107. The mailing address for Athena Marie Moon is 3450 Palencia Dr Apt 2017, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Athena Marie Moon |
|---|---|
| Address | 3450 Palencia Dr Apt 2017, Tampa, Florida |
| Phone Number | 2524123107 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1295877405 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3450 Palencia Dr Apt 2017 |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336181857 |
| Phone Number | 2524123107 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SA8851 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique 10-digit identifier code assigned to Athena Marie Moon by the Centers for Medicare & Medicaid Services?
The Athena Marie Moon has been issued the NPI (National Provider Identifier) 1295877405 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Athena Marie Moon's physical address?
The Athena Marie Moon is physically located at 3450 Palencia Dr Apt 2017, in the city of Tampa, FL, with the postal code 336181857.
What is Athena Marie Moon's area of expertise and its corresponding taxonomy classification?
The Athena Marie Moon's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295877405 to Athena Marie Moon?
The Centers for Medicare & Medicaid Services originally issued the 1295877405 to Athena Marie Moon on 2007-02-13.
As of what date were the details pertaining to Athena Marie Moon last refreshed?
The information related to the Athena Marie Moon, including its address, specialty, and other relevant details, was last updated on 2007-07-08.