Organization Name: | MOORE PEDIATRIC THERAPY SERVICES, PLLC |
NPI Number: | 1982864849 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA C SECURA (OWNER/OPERATOR) |
Mailing Address: | 3571 Carthage Road West End |
State: | NC US |
Postal Code: | 27376 |
Phone Number: | 9106735437 |
Fax Number: | 9106735438 |
NPI Enumeration Date: | 06/13/2008 |
NPI Last Update Date: | 08/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |