MS. MERCEDES MOORE
NPI 1841767191
Specialist/Technologist - Speech-Language Assistant in Phoenix, AZ
Active since October 25, 2018
About Ms. Mercedes Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MERCEDES MOORE (NPI 1841767191) is an individual speech-language assistant in Phoenix, Arizona, licensed in Arizona (SLPA11283) and active in the NPI registry since October 2018.
NPPES Registry Identity
NPI1841767191
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameMS. MERCEDES MOORE
Location Address20003 N 23RD AVE APT 230Phoenix, AZ 85027-4161
Mailing AddressPo Box 41101Phoenix, AZ 85080-1101 · (323) 395-7101
Phone(323) 395-7101
Sole ProprietorNo
Enumeration DateOctober 25, 2018
✔ NPI 1841767191 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in AZ · SLPA11283
20003 N 23RD AVE APT 230, Phoenix, AZ 85027
Other Names 1
Other Name (5)Ms. Mercedes Moore
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841767191, enumerated as an "individual" on October 25, 2018.
The provider is located at 20003 N 23RD AVE APT 230 PHOENIX, AZ 85027 and the phone number is (323) 395-7101.
Specialist/Technologist with taxonomy code 2355S0801X and a focus in Speech-Language Assistant.