Individual
MARIDITH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 FARRIS PARKS BLVD, RICHMOND, KY 40475-7650
(859) 353-3666
Mailing address
322 ENGLEWOOD RD, MIDDLESBORO, KY 40965-1769
(859) 353-3666
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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