Active NPIIndividual provider

Kimberly Moore, MS, CCC-SLP

Speech-Language Pathologist, in Monroe, New York

NPI Number1316190887
Practice location
10 Cunningham Dr, Monroe, NY 10950-3906
Fax
—
Last updated
June 15, 2012

Kimberly Moore is a Speech-Language Pathologist, based in Monroe, NY. Kimberly Moore practices in Monroe, NY and has the professional credentials of MS, CCC-SLP. The NPI Number for Kimberly Moore is 1316190887 and holds a License No. 018101-1 (NY). The current practice location address for Kimberly Moore is 10 Cunningham Dr, Monroe, NY 10950-3906 and can be reached out via phone at 845-782-8368.

Provider Profile Details

NPI Number
1316190887
Provider Name
Kimberly Moore
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
10 Cunningham Dr, Monroe, NY 10950-3906
Phone Number
845-782-8368
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
October 28, 2008
Last Update Date
June 15, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Cunningham Dr
Monroe, NY 10950-3906
City
Monroe
Zip
10950-3906
Phone Number
845-782-8368
Monroe, NY 10950Get directions →

Provider Business Mailing Address Details

Address
10 Cunningham Dr
Monroe, NY 10950-3906
City
Monroe
State
NY
Zip
10950-3906
Phone Number
845-782-8368

License Information

License Number
018101-1
License State
NY
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 Kimberly Moore, MS, CCC-SLP?

The NPI number of Kimberly Moore, MS, CCC-SLP is 1316190887. It was assigned on October 28, 2008 and is currently active in the NPPES registry.

What is the specialty of Kimberly Moore, MS, CCC-SLP?

Kimberly Moore, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 018101-1.

Where does Kimberly Moore, MS, CCC-SLP practice?

The practice location is 10 Cunningham Dr, Monroe, NY 10950-3906. The office can be reached at 845-782-8368 (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 1316190887 directly on the NPPES registry website.

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