Moore, Andrea R

Moore, Andrea R is an sole proprietor health care provider with primary practice located at 725 Boardman Canfield Rd E-1, Boardman OH 44512-4380. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Moore, Andrea R can be contacted via phone (330) 307-7983.

Contact Information

Primary practice address
725 Boardman Canfield Rd E-1 Boardman OH 44512-4380
Phone: (330) 307-7983
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP7959 Ohio

Profile Details

NPI number 1932363298
LBN Legal business name Moore, Andrea R
Credentials M.A., CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2008
Last updated Apr 26th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932363298 NPPES
Ohio Other 11685184 CAQH
Ohio Other 000000175073 CAQH

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