MS. DEIDRE ANN MOORE CCC-SLP
NPI 1205049152
Speech-Language Pathologist in Indianapolis, IN

Active since May 08, 2007
1060 E 86TH ST, SUITE 65C, INDIANAPOLIS, IN 46240(765) 621-3285(317) 218-3462 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Speech-Language Pathologist

About DEIDRE MOORE

This page provides the complete NPI Profile along with additional information for Deidre Moore, a provider established in Indianapolis, Indiana with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1205049152 assigned on May 2007. The practitioner's primary taxonomy code is 235Z00000X with license number 22002523A (IN). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1205049152 Verify this NPI
Provider Name
MS. DEIDRE ANN MOORE CCC-SLP
Gender
Female
Entity Type
Individual
Location Address
1060 E 86TH ST SUITE 65C INDIANAPOLIS, IN 46240
Location Phone
(765) 621-3285
Location Fax
(317) 218-3462
Mailing Address
PO BOX 40696 INDIANAPOLIS, IN 46240
Mailing Phone
(765) 621-3285
Mailing Fax
(317) 218-3462
Is Sole Proprietor?
Yes
Enumeration Date
05-08-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
22002523A
License State
IN
Taxonomy Description
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.

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Speech-Language Pathologist
1060 E 86TH ST, SUITE 65C
INDIANAPOLIS, IN 46240
Physical Therapist
1060 E 86TH ST, SUITE 65C
INDIANAPOLIS, IN 46240
Occupational Therapist
1060 E 86TH ST, SUITE 65C
INDIANAPOLIS, IN 46240
Physical Therapist
1060 E 86TH ST, SUITE 65C
INDIANAPOLIS, IN 46240
Physical Therapy Assistant
1060 E 86TH ST, SUITE 65C
INDIANAPOLIS, IN 46240
Speech-Language Pathologist
1060 E 86TH ST, SUITE 65C
INDIANAPOLIS, IN 46240
Speech-Language Pathologist
1060 E 86TH ST, SUITE 65C
INDIANAPOLIS, IN 46240
Speech-Language Pathologist
1060 E 86TH ST, SUITE 65C
INDIANAPOLIS, IN 46240

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205049152, enumerated as an "individual" on May 08, 2007.

The provider is located at 1060 E 86TH ST SUITE 65C INDIANAPOLIS, IN 46240 and the phone number is (765) 621-3285.

Speech-Language Pathologist with taxonomy code 235Z00000X.