Individual
MRS. BRENNA RAE MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
950 OFFICE PARK RD STE 100, WEST DES MOINES, IA 50265-2548
(515) 224-0979
(515) 224-6090
Mailing address
950 OFFICE PARK RD STE 100, WEST DES MOINES, IA 50265-2548
(515) 368-1440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114981
IA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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