MRS. CONNIE SUSAN MOORE MS,CCC/SLP
NPI 1972747491
Speech-Language Pathologist in Salem, IL

Active since April 28, 2009
1201 HAWTHORN RD, SALEM, IL 62881(618) 548-4884(618) 548-2150 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Speech-Language Pathologist

About CONNIE MOORE

This page provides the complete NPI Profile along with additional information for Connie Moore, a provider established in Salem, Illinois with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1972747491 assigned on April 2009. The practitioner's primary taxonomy code is 235Z00000X with license number 12098284 (IL). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1972747491 Verify this NPI
Provider Name
MRS. CONNIE SUSAN MOORE MS,CCC/SLP
Gender
Female
Entity Type
Individual
Location Address
1201 HAWTHORN RD SALEM, IL 62881
Location Phone
(618) 548-4884
Location Fax
(618) 548-2150
Mailing Address
409 E 3RD ST FLORA, IL 62839
Mailing Phone
(618) 662-8934
Is Sole Proprietor?
No
Enumeration Date
04-28-2009
Last Update Date
04-28-2009
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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.
12098284
License State
IL
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 6 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1201 HAWTHORN RD
SALEM, IL 62881
Occupational Therapist
1201 HAWTHORN RD
SALEM, IL 62881
Speech-Language Pathologist
1201 HAWTHORN RD
SALEM, IL 62881
Occupational Therapist
1201 HAWTHORN RD
SALEM, IL 62881
Physical Therapist
1201 HAWTHORN RD
SALEM, IL 62881
Skilled Nursing Facility
1201 HAWTHORN RD
SALEM, IL 62881

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972747491, enumerated as an "individual" on April 28, 2009.

The provider is located at 1201 HAWTHORN RD SALEM, IL 62881 and the phone number is (618) 548-4884.

Speech-Language Pathologist with taxonomy code 235Z00000X.