Individual
MRS. MARY CATHERINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3000 S STATE ROAD 135, SUITE 110, GREENWOOD, IN 46143-9607
(317) 535-4075
(317) 535-4076
Mailing address
1441 WILLSHIRE DR, GREENWOOD, IN 46143-9098
(317) 859-9696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004174A
IN
Other
Enumeration date
02/21/2007
Last updated
08/05/2013
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