Individual
CHRISTINA MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4426
(877) 847-9355
Mailing address
3034 CARMEL ST, DALLAS, TX 75204-6121
(916) 832-6487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108900
TX
235Z00000X
Speech-Language Pathologist
27093
CA
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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