Individual
AMANDA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2300 PATTERSON ST, NASHVILLE, TN 37203-1538
(629) 212-2313
Mailing address
1503 GRANDVIEW DR, NASHVILLE, TN 37215-3031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6262
TN
Other
Enumeration date
01/03/2018
Last updated
03/17/2018
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