Individual
AMITHYSE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
20400 SARATOGA LOS GATOS RD, SARATOGA, CA 95070-5927
(408) 741-2950
Mailing address
1101 S CAPITOL OF TEXAS HIGHWAY, BUILDING G-200, AUSTIN, TX 78746-5927
(800) 967-4667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27325
SPEECH THERAPY
CA
Enumeration date
07/25/2018
Last updated
07/25/2018
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