ELLIE CAROLINE MOON CFY-SLP
NPI 1467891861
Speech-Language Pathologist in Fruita, CO

Active since June 19, 2013
551 KOKOPELLI BLVD UNIT E, FRUITA, CO 81521(970) 858-2526(970) 858-8244 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 28, 2019, Jul 25, 2019 (2 updates tracked since 2019).

About Ellie Caroline Moon Cfy-slp NPPES

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

ELLIE CAROLINE MOON CFY-SLP (NPI 1467891861) is an individual speech-language pathologist provider in Fruita, Colorado, licensed in Colorado (SLP.0003431) and active in the NPI registry since June 2013. She maintains a secondary practice location in Fruita.

NPPES Registry Identity

NPI1467891861
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameELLIE CAROLINE MOONCredential: CFY-SLP
Location Address551 KOKOPELLI BLVD UNIT EFruita, CO 81521
Mailing AddressPo Box 130Fruita, CO 81521-0130 · (970) 858-3900 · Fax (970) 858-2208
Fax(970) 858-8244
Sole ProprietorNo
Enumeration DateJune 19, 2013
Last NPPES UpdateOctober 28, 20192 updates tracked since enumeration
NPI 1467891861 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 CO · SLP.0003431
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.

551 KOKOPELLI BLVD UNIT E, Fruita, CO 81521

Secondary Practice Location 1

Location 1300 W Ottley AveFruita, CO 81521-2118 · Phone (970) 858-2147 · Fax (970) 858-4569

Other Providers at the Same Location NPPES 6

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

Physical Therapist
551 KOKOPELLI BLVD UNIT E
FRUITA, CO 81521
Speech-Language Pathologist
551 KOKOPELLI BLVD UNIT E
FRUITA, CO 81521
Physical Therapist
551 KOKOPELLI BLVD UNIT E
FRUITA, CO 81521
Occupational Therapist
551 KOKOPELLI BLVD UNIT E
FRUITA, CO 81521
Occupational Therapist
551 KOKOPELLI BLVD UNIT E
FRUITA, CO 81521
Physical Therapist
551 KOKOPELLI BLVD UNIT E
FRUITA, CO 81521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467891861, enumerated as an "individual" on June 19, 2013.

The provider is located at 551 KOKOPELLI BLVD UNIT E FRUITA, CO 81521 and the phone number is (970) 858-2526.

Speech-Language Pathologist with taxonomy code 235Z00000X.