Moore, Jacqueline
Moore, Jacqueline is an sole proprietor health care provider with primary practice located at 5980 Radio Station Rd , La Plata MD 20646-3337. 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, Jacqueline can be contacted via phone (301) 932-6610.Contact Information
Primary practice address
5980 Radio Station Rd
La Plata MD 20646-3337
Phone: (301) 932-6610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | Maryland |
Profile Details
| NPI number | 1962059980 |
|---|---|
| LBN Legal business name | Moore, Jacqueline |
| Credentials | MS SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2019 |
| Last updated | Aug 23rd, 2019 - about 6 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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