Candace Renata Moore in Stockbridge - Speech-language Pathologist
Candace Renata Moore - NPI 1689865628
Candace Renata Moore is a Speech-language Pathologist in Stockbridge, Georgia. Candace Renata Moore practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Candace Renata Moore is 1689865628. The last update date is 2020-06-30.
Candace Renata Moore's current location address is 312 Viceroy Curv, Stockbridge, Georgia. You can contact this provider via phone number 5044913332 and fax number 8775788794. The mailing address for Candace Renata Moore is 312 Viceroy Curv, Stockbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candace Renata Moore |
|---|---|
| Address | 312 Viceroy Curv, Stockbridge, Georgia |
| Phone Number | 5044913332 |
| Fax Number | 8775788794 |
| Sole Proprietor | N |
| Credentials | CCC,SLP |
NPI Number Detail
| NPI Number | 1689865628 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2020-06-30 |
Provider Mailing Address Detail
| Address | 312 Viceroy Curv |
|---|---|
| City | Stockbridge |
| State | Georgia (GA) |
| Post Code | 302819140 |
| Phone Number | 5044913332 |
| Fax Number | 8775788794 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP006149 |
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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 Candace Renata Moore's 1689865628?
The Candace Renata Moore's NPI (National Provider Identifier) Number is 1689865628. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Candace Renata Moore's physical address?
The Candace Renata Moore is physically located at 312 Viceroy Curv, in the city of Stockbridge, GA, with the postal code 302819140.
What is the Candace Renata Moore's specialty and taxonomy code?
The Candace Renata Moore's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689865628 to Candace Renata Moore?
The Centers for Medicare & Medicaid Services originally issued the 1689865628 to Candace Renata Moore on 2007-08-06.
As of what date were the details pertaining to Candace Renata Moore last refreshed?
The information related to the Candace Renata Moore, including its address, specialty, and other relevant details, was last updated on 2020-06-30.