Moore, Melissa A

Moore, Melissa A is an sole proprietor health care provider with primary practice located at 1030 E Highway 377 202, Granbury TX 76048-1456. 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. Moore, Melissa A can be contacted via phone (817) 372-7380.

Contact Information

Primary practice address
1030 E Highway 377 202 Granbury TX 76048-1456
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 17481 Texas

Profile Details

NPI number 1043487325
LBN Legal business name Moore, Melissa A
Credentials M.A.CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2008
Last updated Aug 6th, 2010 - about 16 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 1043487325 NPPES
Texas MEDICAID 158263702
Texas Other 8T1042

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