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Individual
MELISSA A MOORE
Active
Individual
MELISSA A MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158263702
—
TX
01
—
8T1042
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/14/2008
Last updated
01/30/2026
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