Organization Name: | DAWN M. MOORE MA, CCC/SLP INC. |
NPI Number: | 1114364304 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN MARIE MOORE (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 350 Holly Hill Ln Suite A Burlington |
State: | NC US |
Postal Code: | 272155691 |
Phone Number: | 3363509263 |
Fax Number: | 3363509264 |
NPI Enumeration Date: | 05/28/2013 |
NPI Last Update Date: | 06/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4940 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |