Individual
MRS. EMILY MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1298 PEQUAWKET TRL, BROWNFIELD, ME 04010-4905
(207) 542-5598
Mailing address
1298 PEQUAWKET TRL, BROWNFIELD, ME 04010-4905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAS3756
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801097175
—
ME
Enumeration date
03/11/2024
Last updated
03/11/2024
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