Moffett, Christina L
Moffett, Christina L is an individual health care provider with primary practice located at 4214 Sheridan Rd , Mt Pleasant WI 53403-4142. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Moffett, Christina L can be contacted via phone (262) 554-5006.Contact Information
Primary practice address
4214 Sheridan Rd
Mt Pleasant WI 53403-4142
Phone: (262) 554-5006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4663-154 | Wisconsin |
Profile Details
| NPI number | 1174176770 |
|---|---|
| LBN Legal business name | Moffett, Christina L |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2019 |
| Last updated | Jun 4th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174176770 | NPPES |
| Wisconsin | MEDICAID | 1174176770 |
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