Individual
ALYSSA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
927 GRACE AVE, PANAMA CITY, FL 32401-2521
(850) 769-5371
(850) 872-9558
Mailing address
927 GRACE AVE, PANAMA CITY, FL 32401-2521
(850) 769-5371
(850) 872-9558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 12223
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012847100
—
FL
Enumeration date
08/06/2014
Last updated
10/09/2014
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