Individual
MATTHEW WAYNE MOOBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA SLP
Contact information
Practice address
1371 HECLA DR STE D130, LOUISVILLE, CO 80027-2318
(303) 963-5582
Mailing address
10656 RING AVE, RANCHO CUCAMONGA, CA 91737-4416
(909) 731-7965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP.0001474
CO
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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