NPI 1063544104
Bridgette Moore, MACCCSLP
Practice location
- Address
- 420 Thatcher Ln, Monroe, LA 71203-6516
- Phone
- (318) 680-2027
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1063544104
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Mar 2007
- Record last updated
- 8 Jul 2007
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.