Doctor Name: | EMILY MOONEY |
NPI Number: | 1588890966 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC SLP |
License Number: | LL 00003378 |
Business Practice Address: | 4050 S 212th Ct Unit B Seatac, WA - 981984237 |
Business Phone Number: | 2532771222 |
Business Fax Number: | |
Mailing Address: | 4050 S 212th Ct, Unit B SEATAC |
State: | WA |
Postal Code: | 981984237 |
Phone Number: | 2532771222 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2009 |
NPI Last Update Date: | 05/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL 00003378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |