Individual
MAYA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13460 WOODSIDE LN, NEWPORT NEWS, VA 23608-1364
(757) 886-7744
Mailing address
12465 WARWICK BLVD, NEWPORT NEWS, VA 23606-3041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000190
VA
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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