Elizabeth Moyle, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

645 Tamalpais Dr Ste B
Corte Madera, CA 94925-1613

Phone

(559) 909-2605

NPI assigned

Sep 18, 2020

Last updated

Sep 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Speech Clinic of Marin Inc

  • Speech-Language Pathologist
  • San Anselmo, CA
  • NPI 1568269603
  Authorized official Same address or phone

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1366058927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 KNIGHT DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012542",
            "telephone_number": "559-909-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 TAMALPAIS DR STE B",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251613",
            "telephone_number": "559-909-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYLE",
        "first_name": "ELIZABETH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Duncan Moore, D.C
• Molly Moreira, DC
• Karen Morelli, LMFT
• Marcie Morton, DC
• Anna Mousse, FNP-BC
• Mulder & Baumbacher MDS Inc. (North Bay TMS)
• Mvjbp Physical Therapy Corporation (Mill Valley Physical Therapy)
• Farbod Nadjibi, DDS
• Deborah Riva Nelson, PHD, MFT
• Donald B Nevins, M.D.

• Speech-Language Pathologist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.