Whalio Doctors

NPI 1063544104

Bridgette Moore, MACCCSLP

Practitioner Speech-Language Pathologist Monroe, LA

Practice location

Address
420 Thatcher Ln, Monroe, LA 71203-6516
Phone
(318) 680-2027

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 4817 (LA)

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.