Individual
MS. ELLEN NATALIE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC
Contact information
Practice address
1224 66TH ST N, ST PETERSBURG, FL 33710-6226
(727) 345-4859
Mailing address
1224 66TH ST N, ST PETERSBURG, FL 33710-6226
(727) 345-4859
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5905296
AETNA
FL
01
—
S0944
BCBS
FL
Enumeration date
01/26/2007
Last updated
07/08/2007
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