Moore, Alicia

Moore, Alicia is an individual health care provider with primary practice located at 2050 Gause Blvd E Ste 200 , Slidell LA 70461-5425. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Moore, Alicia can be contacted via phone (985) 646-4400.

Contact Information

Primary practice address
2050 Gause Blvd E Ste 200 Slidell LA 70461-5425
Fax: (985) 646-4408
Website:

Health care specialties

Profile Details

NPI number 1306850003
LBN Legal business name Moore, Alicia
Credentials Certified Audiologist (AU)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Apr 13th, 2022 - about 4 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 1306850003 NPPES
Louisiana MEDICAID 1169307

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