Moore Speech & Language LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP006040 Issued in GA

Legal business name

MOORE SPEECH & LANGUAGE LLC

Practice address

976 Redstone Rd
Dacula, GA 30019-7415

Phone

(770) 995-2345

Fax

(678) 392-4401

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Susan Johnson

Title

Business Manager

Phone

(770) 995-2345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497828248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 REDSTONE RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197415",
            "telephone_number": "770-995-2345",
            "fax_number": "678-392-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 REDSTONE RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197415",
            "telephone_number": "770-995-2345",
            "fax_number": "678-392-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE SPEECH & LANGUAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "770-995-2345"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Moates
• Mohmedali Hasmatali Momin, FNP
• Colleen Aletha Montaque
• Julie E Moody, SLP
• Henry S Moon, MD
• Molly Moore, CCC-SLP
• Kristen Doolittle Moran, PT, DPT
• Rose Morlino, PHD, BCBA
• Kimberly Morris
• Debra Carol Moss, NP

• Speech-Language Pathologist in Dacula, GA
• Providers in Dacula, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.