Individual
MR. ADAM LAWRENCE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., CCC-SLP
Contact information
Practice address
11640 COURT OF PALMS APT 304, FORT MYERS, FL 33908-6553
(407) 476-8629
Mailing address
11640 COURT OF PALMS APT 304, FORT MYERS, FL 33908-6553
(407) 476-8629
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
022453-1
NY
235Z00000X
Speech-Language Pathologist
09260
MD
235Z00000X
Speech-Language Pathologist
Primary
106116
TX
235Z00000X
Speech-Language Pathologist
16882
NY
235Z00000X
Speech-Language Pathologist
23548
CA
235Z00000X
Speech-Language Pathologist
41YS00675000
NJ
235Z00000X
Speech-Language Pathologist
8012
LA
235Z00000X
Speech-Language Pathologist
LL60686608
WA
235Z00000X
Speech-Language Pathologist
SLP007671
GA
Other
Enumeration date
07/12/2011
Last updated
02/20/2020
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