Individual
RITA MICHELLE MOYNIHAN-GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3390
(407) 310-7378
Mailing address
128 SPRING VALLEY LOOP, ALTAMONTE SPRINGS, FL 32714-6515
(407) 310-7378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9950
FL
235Z00000X
Speech-Language Pathologist
SLP007841
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003552000
—
FL
01
—
1669604179
NPI NUMBER
FL
Enumeration date
05/06/2013
Last updated
05/06/2013
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