Doctor Name: | MRS. MARY CATHERINE MOORE |
NPI Number: | 1184769622 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 22004174A |
Business Practice Address: | 3000 S State Road 135 Suite 110 Greenwood, IN - 461439607 |
Business Phone Number: | 3175354075 |
Business Fax Number: | 3175354076 |
Mailing Address: | 1441 Willshire Dr, GREENWOOD |
State: | IN |
Postal Code: | 461439098 |
Phone Number: | 3178599696 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 08/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22004174A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |