Doctor Name: | ASHLEY PEYTON MOORE |
NPI Number: | 1720416670 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 1023659 |
Business Practice Address: | 1700 E. Barnett Road Medford, OR - 97504 |
Business Phone Number: | 5417738255 |
Business Fax Number: | 5417738256 |
Mailing Address: | 1700 E. Barnett Road, MEDFORD |
State: | OR |
Postal Code: | 97504 |
Phone Number: | 5417738255 |
Fax Number: | 5417738256 |
NPI Enumeration Date: | 10/30/2013 |
NPI Last Update Date: | 10/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1023659 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |