Individual
MS. SUSAN A. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
114 LANGDELL ROAD, HYDE PARK, VT 05655
(802) 888-5578
Mailing address
PO BOX 34, NORTH HYDE PARK, VT 05665-0034
(802) 888-5578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6 84
VT
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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