Active NPIIndividual provider

Keisha Moore, MA, CCC-SLP

Speech-Language Pathologist, in East Longmeadow, Massachusetts

NPI Number1598887432
Practice location
305 Maple St, East Longmeadow, MA 01028-2765
Fax
—
Last updated
April 16, 2018

Keisha Moore is a Speech-Language Pathologist, based in East Longmeadow, MA. Keisha Moore practices in East Longmeadow, MA and has the professional credentials of MA, CCC-SLP. The NPI Number for Keisha Moore is 1598887432 and holds a License No. 2202005116 (VA). The current practice location address for Keisha Moore is 305 Maple St, East Longmeadow, MA 01028-2765 and can be reached out via phone at 413-525-6361.

Provider Profile Details

NPI Number
1598887432
Provider Name
Keisha Moore
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
305 Maple St, East Longmeadow, MA 01028-2765
Phone Number
413-525-6361
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 4, 2007
Last Update Date
April 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
305 Maple St
East Longmeadow, MA 01028-2765
Zip
01028-2765
Phone Number
413-525-6361
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
21 Harlow Dr
Newington, CT 06111-3203
City
Newington
State
CT
Zip
06111-3203

License Information

License Number (1)
2202005116
License State (1)
VA
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
76813
License State (2)
MA
Taxonomy (2)
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 Keisha Moore, MA, CCC-SLP?

The NPI number of Keisha Moore, MA, CCC-SLP is 1598887432. It was assigned on April 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Keisha Moore, MA, CCC-SLP?

Keisha Moore, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in VA under license number 2202005116.

Where does Keisha Moore, MA, CCC-SLP practice?

The practice location is 305 Maple St, East Longmeadow, MA 01028-2765. The office can be reached at 413-525-6361 (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 1598887432 directly on the NPPES registry website.

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