Individual
KATIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2000 E OAKLEY PARK RD STE 101, COMMERCE TOWNSHIP, MI 48390-1569
(732) 965-8475
(732) 719-7156
Mailing address
PO BOX 412031, BOSTON, MA 02241-2031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5879
AZ
235Z00000X
Speech-Language Pathologist
Primary
—
MI
Other
Enumeration date
03/04/2010
Last updated
03/02/2026
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