Individual
DR. ALICIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU
Contact information
Practice address
2050 GAUSE BLVD E STE 200, SLIDELL, LA 70461-5425
(985) 646-4400
(985) 646-4408
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(985) 646-4400
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2848
LA
237600000X
Audiologist-Hearing Aid Fitter
2848
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1169307
—
LA
Enumeration date
07/28/2006
Last updated
04/13/2022
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