MRS. ALYSSA G. MOOMAW MS, CCC-SLP/L
NPI 1780947838
Speech-Language Pathologist in Decatur, IL

Q: What is Alyssa Moomaw's NPI number?

The NPI number for Alyssa Moomaw is 1780947838. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Q: What is Alyssa Moomaw'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 Alyssa Moomaw was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 22, 2012

1800 E LAKE SHORE DR, DECATUR, IL 62521(217) 464-2966(217) 464-1633 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Alyssa G. Moomaw Ms, Ccc-slp/l NPPES

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

MRS. ALYSSA G. MOOMAW MS, CCC-SLP/L (NPI 1780947838) is an individual speech-language pathologist provider in Decatur, Illinois, licensed in Illinois (146009778) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1780947838

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. ALYSSA G. MOOMAWCredential: MS, CCC-SLP/L

Location Address1800 E LAKE SHORE DRDecatur, IL 62521-3810

Mailing Address1800 E Lake Shore DrDecatur, IL 62521-3810 · (217) 464-2966 · Fax (217) 464-1633

Phone(217) 464-2966

Fax(217) 464-1633

Sole ProprietorNo

Enumeration DateJune 22, 2012

✔ NPI 1780947838 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 IL · 146009778

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.

1800 E LAKE SHORE DR, Decatur, IL 62521

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