Individual
MRS. ANDREA GRAHAM MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
901 W BAKER RD, BAYTOWN, TX 77521-2398
(866) 659-2295
(281) 420-9465
Mailing address
901 W BAKER RD, BAYTOWN, TX 77521-2398
(866) 659-2295
(281) 420-9465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10174
NC
235Z00000X
Speech-Language Pathologist
Primary
113188
TX
Other
Enumeration date
03/06/2013
Last updated
03/02/2017
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