Individual
ANDREA MOSCOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 N HERMITAGE AVE APT 1R, CHICAGO, IL 60622-5081
(937) 245-0622
Mailing address
901 N HERMITAGE AVE APT 1R, CHICAGO, IL 60622-5081
(937) 245-0622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011858
IL
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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