Individual
MICHELLE C MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3913 HIGHWAY 14, NEW IBERIA, LA 70560-9435
(337) 577-4100
Mailing address
3913 HIGHWAY 14, NEW IBERIA, LA 70560-9435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6994
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102075873
STAT OF LOUISIANA ARTICLE NUMBER
LA
Enumeration date
02/28/2019
Last updated
07/10/2020
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