# DR. STEPHANIE R MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1205941804
- **Gender:** F
- **Credential:** AUD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 81697 | TX | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | 190 | OK | — |
| 237600000X | Audiologist-Hearing Aid Fitter | 81697 | TX | — |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 01/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100664230A | — | OK |