Active NPIIndividual providerSole proprietor

Ms. Susan A Moore, MS CCC/SLP

Speech-Language Pathologist, in Hyde Park, Vermont

NPI Number1699097964
Practice location
114 Langdell Road, Hyde Park, VT 05655
Fax
—
Last updated
February 26, 2010

Susan A. Moore is a Speech-Language Pathologist, based in Hyde Park, VT. Susan A. Moore practices in Hyde Park, VT and has the professional credentials of MS CCC/SLP. The NPI Number for Susan A. Moore is 1699097964 and holds a License No. 6 84 (VT). The current practice location address for Susan A. Moore is 114 Langdell Road, Hyde Park, VT 05655 and can be reached out via phone at 802-888-5578.

Provider Profile Details

NPI Number
1699097964
Provider Name
Susan A. Moore
Credential
MS CCC/SLP
Provider Entity Type
Individual
Gender
Female
Address
114 Langdell Road, Hyde Park, VT 05655
Phone Number
802-888-5578
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 26, 2010
Last Update Date
February 26, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Langdell Road
Hyde Park, VT 05655
State
Vermont
Zip
05655
Phone Number
802-888-5578
Hyde Park, VT 05655Get directions →

Provider Business Mailing Address Details

Address
Po Box 34
North Hyde Park, VT 05665-0034
City
North Hyde Park
State
VT
Zip
05665-0034
Phone Number
802-888-5578

License Information

License Number
6 84
License State
VT
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 Ms. Susan A Moore, MS CCC/SLP?

The NPI number of Ms. Susan A Moore, MS CCC/SLP is 1699097964. It was assigned on February 26, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan A Moore, MS CCC/SLP?

Ms. Susan A Moore, MS CCC/SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in VT under license number 6 84.

Where does Ms. Susan A Moore, MS CCC/SLP practice?

The practice location is 114 Langdell Road, Hyde Park, VT 05655. The office can be reached at 802-888-5578 (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 1699097964 directly on the NPPES registry website.

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