Karla Annette Moore, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Melrose, NM
NPI 1275689366 · NPPES record last updated Sep 18, 2007
Key facts
- NPI
- 1275689366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3260 (NM)
- Practice address
- 100 East Missouri
Melrose, NM 88124 - Phone
- (505) 253-4266
- Fax
- (505) 253-4291
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3260 | NM | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3260 | NM | Yes |
| Speech-Language Pathologist | 235Z00000X | 100576 | TX |
Addresses
Primary practice location
100 East Missouri
Melrose, NM 88124
Mailing address
100 East Missouri
P.O. Box 275
Melrose, NM 88124
Phone (505) 253-4266
Other providers in Melrose, NM
- Amy Coddington
- Edna Gail Gutierrez
- Tammie Jean Jacobs
- Zanessa D. Kastler
- La Casa de Buena Salud Inc
- Roosevelt County Special Hospital District
- Village of Melrose
All providers in Melrose, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.