Individual
DAVID BRENT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSCCC/SLP BCHIS
Contact information
Practice address
2201 W IOWA AVE STE 5, CHICKASHA, OK 73018-2732
(405) 222-4444
(405) 222-4402
Mailing address
2201 W IOWA AVE STE 5, CHICKASHA, OK 73018-2732
(405) 222-4444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2184
OK
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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