Individual
AMY L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 19TH AVE, LONGMONT, CO 80501-1812
(303) 772-3040
Mailing address
2344 PROVENANCE ST, LONGMONT, CO 80504-3706
(949) 246-0689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
348396
CO
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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