Individual
MS. CASEY ERIN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
708 E DIXON RD, RM. 27, LITTLE ROCK, AR 72206-4114
(501) 490-2000
Mailing address
103 CHARTER CT, SHERWOOD, AR 72120-5048
(501) 834-3138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8493
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194133721
—
AR
Enumeration date
12/13/2012
Last updated
10/13/2023
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