Active NPIIndividual provider

Lisa M Moran, MS, CCC-SLP

Speech-Language Pathologist, in Medford, Massachusetts

NPI Number1235262015
Practice location
200 Governors Ave, Medford, MA 02155-1644
Fax
—
Last updated
January 22, 2014

Lisa Marie Moran is a Speech-Language Pathologist, based in Medford, MA. Lisa Marie Moran practices in Medford, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Lisa Marie Moran is 1235262015 and holds a License No. 6999 (MA). The current practice location address for Lisa Marie Moran is 200 Governors Ave, Medford, MA 02155-1644 and can be reached out via phone at 781-391-5400.

Provider Profile Details

NPI Number
1235262015
Provider Name
Lisa Marie Moran
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
200 Governors Ave, Medford, MA 02155-1644
Phone Number
781-391-5400
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
March 13, 2007
Last Update Date
January 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Governors Ave
Medford, MA 02155-1644
Zip
02155-1644
Phone Number
781-391-5400
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
233 Park St
North Reading, MA 01864-3230
City
North Reading
State
MA
Zip
01864-3230

License Information

License Number
6999
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa M Moran, MS, CCC-SLP?

The NPI number of Lisa M Moran, MS, CCC-SLP is 1235262015. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Lisa M Moran, MS, CCC-SLP?

Lisa M Moran, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 6999.

Where does Lisa M Moran, MS, CCC-SLP practice?

The practice location is 200 Governors Ave, Medford, MA 02155-1644. The office can be reached at 781-391-5400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235262015 directly on the NPPES registry website.

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