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
Phone: (985) 646-4400
Fax: (985) 646-4408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 2848 | Louisiana |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 2848 | Louisiana |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306850003 | NPPES |
| Louisiana | MEDICAID | 1169307 |
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