Individual
ASHLEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 S JACKSON ST, POTTSVILLE, PA 17901-3625
(570) 621-5175
(570) 621-5620
Mailing address
1135 OLD WEST CHOCOLATE AVE, HUMMELSTOWN, PA 17036
(717) 832-2660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012361
PA
Other
Enumeration date
05/01/2015
Last updated
04/28/2020
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