NPI 1003066978

Danielle Moore, CCCSLP

Practitioner Speech-Language Pathologist Tucker, GA

Practice location

Address: 3756 Lavista Rd Suite 104, Tucker, GA 30084-5614
Phone: (404) 477-9400
Mailing address: 405 Jordan Dr, Tucker, GA 30084-2035

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP004369 (GA)

Other Speech-Language Pathologist providers in Georgia →

Registry record

NPI: 1003066978
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2008
Record last updated: 26 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.