Jennifer L Moak, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL007314 Issued in PA

Practice address

3394 Saxonburg Blvd
Suite 620
Glenshaw, PA 15116-3168

Phone

(412) 963-0463

NPI assigned

Aug 8, 2007

Last updated

Dec 16, 2008By 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

State licenses

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1417148982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 DUFFIELD ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061323",
            "telephone_number": "412-362-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 SAXONBURG BLVD",
            "address_2": "SUITE 620",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151163168",
            "telephone_number": "412-963-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAK",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MACCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Meinert
• Erica Menhart
• Ashley Meyer
• Brittany Maree Meyer, MT-BC
• Gabrielle Capo Meyer, CRNP
• Anthony L. Monteleone II, DMD
• Andrew James Morgan
• Kylie Murphy
• Carla Murtha
• Andrew Nease, MACCCSLP

• Speech-Language Pathologist in Glenshaw, PA
• Providers in Glenshaw, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.