Individual
CYNTHIA R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
31 SPOFFORD RD, BOXFORD, MA 01921-1501
(978) 352-8616
Mailing address
112 IPSWICH RD, BOXFORD, MA 01921-2028
(978) 887-2134
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5565
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
MA
Enumeration date
01/05/2007
Last updated
07/08/2007
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