Individual
MRS. JENNIFER L MOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
3394 SAXONBURG BLVD, SUITE 620, GLENSHAW, PA 15116-3168
(412) 963-0463
Mailing address
1624 DUFFIELD ST, PITTSBURGH, PA 15206-1323
(412) 362-6216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007314
PA
Other
Enumeration date
08/08/2007
Last updated
12/16/2008
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