Organization
MOUTH DYNAMICS SPEECH AND MYO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MOORE EDD CCC-SLP (OWNER)
(973) 747-0456
Entity
Organization
Contact information
Practice address
540 LAFAYETTE RD, SPARTA, NJ 07871-3497
(974) 747-0456
Mailing address
540 LAFAYETTE RD, SPARTA, NJ 07871-3497
(974) 747-0456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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