Individual
CASSIDY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205B W GREEN OAKS BLVD, ARLINGTON, TX 76013-8301
(817) 457-3088
Mailing address
1419 LYRA LN, ARLINGTON, TX 76013-8311
(940) 255-9287
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106663
TX
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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