Moran, Alyssa

Moran, Alyssa is an individual health care provider with primary practice located at 927 Grace Ave , Panama City FL 32401-2521. 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. Moran, Alyssa can be contacted via phone (850) 769-5371.

Contact Information

Primary practice address
927 Grace Ave Panama City FL 32401-2521
Phone: (850) 769-5371
Fax: (850) 872-9558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 12223 Florida

Profile Details

NPI number 1407265119
LBN Legal business name Moran, Alyssa
Credentials SPEECH THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2014
Last updated Oct 9th, 2014 - about 12 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 1407265119 NPPES
Florida MEDICAID 012847100

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