Organization
BLUE SKY SPEECH AND FEEDING THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARIE MOORE CCC-SLP (OWNER)
(618) 792-8034
Entity
Organization
Contact information
Practice address
3621 WINIFRED DR, FORT WORTH, TX 76133-2126
(618) 792-8034
Mailing address
3621 WINIFRED DR, FORT WORTH, TX 76133-2126
(618) 792-8034
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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