Andrea R Moore in Boardman - Speech-language Pathologist

Andrea R Moore - NPI 1932363298

Andrea R Moore is a Speech-language Pathologist in Boardman, Ohio. Andrea R Moore practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Andrea R Moore is 1932363298. The last update date is 2013-04-26.

Andrea R Moore's current location address is 725 Boardman Canfield Rd, Boardman, Ohio. You can contact this provider via phone number 3303077983. The mailing address for Andrea R Moore is 725 Boardman Canfield Rd, Boardman, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea R Moore
Address 725 Boardman Canfield Rd, Boardman, Ohio
Phone Number 3303077983
Fax Number
Sole Proprietor Y
Credentials M.A., CCC/

NPI Number Detail

NPI Number 1932363298
Provider Enumeration Date 2008-07-16
Last Updated Date 2013-04-26

Provider Mailing Address Detail

Address 725 Boardman Canfield Rd
City Boardman
State Ohio (OH)
Post Code 445124380
Phone Number 3303077983
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SP7959
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11685184 OH CAQH
175073 OH UNISON

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FAQs about Andrea R Moore

What is the unique identifier code issued to Andrea R Moore by the Centers for Medicare & Medicaid Services (CMS)?

The Andrea R Moore has been assigned the NPI (National Provider Identifier) 1932363298. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Andrea R Moore's facilities are situated?

The facilities of Andrea R Moore are physically located at the following address: 725 Boardman Canfield Rd, Boardman, OH, 445124380.

What is Andrea R Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Andrea R Moore's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.

When did the Andrea R Moore receive its 1932363298?

The Andrea R Moore was issued its 1932363298 on 2008-07-16, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Andrea R Moore most recently updated or revised?

The information pertaining to Andrea R Moore, including its address, specialty, and other relevant details, was last updated or revised on 2013-04-26.

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