Moody, Doreen R.

Moody, Doreen R. is an sole proprietor health care provider with primary practice located at 63 Elm Street , Heartland ME 04943. 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. Moody, Doreen R. can be contacted via phone (207) 368-5146.

Contact Information

Primary practice address
63 Elm Street Heartland ME 04943
Fax: (207) 368-2192
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP789 Maine

Profile Details

NPI number 1851608988
LBN Legal business name Moody, Doreen R.
Credentials M.A.CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2010
Last updated Sep 10th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851608988 NPPES
Maine Other SP789 SPEECH-LANGUAGE PATHOLOGY

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