Christina Marie Moore, SLP
Speech-Language Pathologist, in Dallas, TX. Individual provider (NPI-1).
NPI number1801377635
StatusActive
Last updated in NPPESAug 29, 2018
Details
- NPI
- 1801377635
- Entity type
- Individual (NPI-1)
- Name
- Christina Marie Moore
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2018
- Last updated
- Aug 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 108900 | TX | Yes |
| 235Z00000X | Speech-Language Pathologist, | 27093 | CA |
Practice location
8200 Walnut Hill LnDallas, TX 75231-4426
Phone 877-847-9355
Mailing address
3034 Carmel StDallas, TX 75204-6121
Phone 916-832-6487
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