Doctor Name: | LINDA KAY MOORE |
NPI Number: | 1982029146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED. |
License Number: | SP. 6566 |
Business Practice Address: | 7229 Raynham Dr Oakwood Village, OH - 441465810 |
Business Phone Number: | 4407868148 |
Business Fax Number: | |
Mailing Address: | 7229 Raynham Dr, OAKWOOD VILLAGE |
State: | OH |
Postal Code: | 441465810 |
Phone Number: | 4407868148 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2014 |
NPI Last Update Date: | 02/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP. 6566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |