Individual
AMY C MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
403 FORREST AVE, EAST BREWTON, AL 36426-2622
(251) 363-6213
Mailing address
152 BELLE MEADE DR, BREWTON, AL 36426-4006
(251) 363-6213
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2071
AL
Other
Enumeration date
03/25/2009
Last updated
08/23/2021
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