Individual
AMBER MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP INTERN
Contact information
Practice address
350 KELLER PKWY, KELLER, TX 76248-2249
(817) 744-1000
Mailing address
1021 MARLOW LN, FORT WORTH, TX 76131-5376
(817) 343-4247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
119937
TX
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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