Individual
MRS. PAMELA PISONI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10312 STEAMBOAT LANDING LN, BURKE, VA 22015-2542
(170) 342-5339
Mailing address
10312 STEAMBOAT LANDING LN, BURKE, VA 22015-2542
(170) 342-5339
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202204640
VA
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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