MRS. JENNIFER KATE MOORE CCC SLP
NPI 1013308469
Speech-Language Pathologist in San Rafael, CA

Q: What is Jennifer Moore's NPI number?

The NPI number for Jennifer Moore is 1013308469. It was assigned to this individual provider in the NPPES registry on February 6, 2015.

Q: What is Jennifer Moore's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Moore was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 06, 2015

99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 889-3833 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Jennifer Kate Moore Ccc Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER KATE MOORE CCC SLP (NPI 1013308469) is an individual speech-language pathologist provider in San Rafael, California, licensed in California (12446) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1013308469

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. JENNIFER KATE MOORECredential: CCC SLP

Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308

Mailing Address99 Montecillo RdSan Rafael, CA 94903-3308 · (415) 889-3833

Phone(415) 889-3833

Sole ProprietorNo

Enumeration DateFebruary 6, 2015

✔ NPI 1013308469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 12446

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

99 MONTECILLO RD, San Rafael, CA 94903

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARTA JUDY FRIEDMAN LCSW, JD

Social Worker (Clinical)