Individual
AUTUMN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2001 STULTS RD, HUNTINGTON, IN 46750-1291
(260) 355-3240
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22009150A
IN
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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