Elizabeth McCoan Moss, M.S., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 1322 Issued in ME

Practice address

91 Camden St Ste 108
Rockland, ME 04841-2430

Phone

(207) 542-4365

NPI assigned

Feb 24, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Elizabeth Ann McCoan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1255571659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MAPLE ST",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431805",
            "telephone_number": "207-315-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CAMDEN ST STE 108",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412430",
            "telephone_number": "207-542-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "ELIZABETH",
        "middle_name": "MCCOAN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "3632",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP 1322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MCCOAN",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "M.S.,CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurel Moran, LSW-MHRT
• Donald Morang
• Abigail C. Morrison, L.AC., M.AC.
• Serena A Morrison, MD
• Michael S Morse, LCSW
• Msad 5
• Msad 5
• Leslie Mulhearn
• Dawn M Murphy, CRNP
• Eileen P Murray, LIC. AC.

• Speech-Language Pathologist in Rockland, ME
• Providers in Rockland, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.