Individual
MARGARET LYNNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1400
(864) 331-1416
Mailing address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1400
(864) 331-1416
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5308
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12147896
AMERICAN SPEECH AND HEARING ASSOCIATION
—
01
—
5308
SOUTH CAROLINA STATE LICENSE
SC
Enumeration date
01/08/2008
Last updated
02/25/2016
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