Doctor Name: | MRS. HOLLY G MOEBUS |
NPI Number: | 1053400358 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.CCC-SLP |
License Number: | SA7213 |
Business Practice Address: | 447 Nw 73rd Ave Plantation, FL - 333171608 |
Business Phone Number: | 9545837383 |
Business Fax Number: | |
Mailing Address: | 9212 Arborwood Cir, DAVIE |
State: | FL |
Postal Code: | 333286770 |
Phone Number: | 9545837383 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA7213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |