Bianca Sade Moss, ST

Speech-Language Pathologist · Olive Branch, MS

Individual Active NPI

NPI number 1063825669

Practice location

12857 Arbor Dr
Olive Branch, MS 38654-9546
Phone
(901) 857-6566

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NPI record

NPI
1063825669
Entity type
Individual (Type 1)
Enumeration date
June 11, 2014
Last updated
October 11, 2022
Certified
October 11, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 4731 TN
Speech-Language Pathologist 235Z00000X 3847 MS

About Bianca Moss

Bianca Sade Moss, ST is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 12857 Arbor Dr, Olive Branch, MS 38654-9546. The NPI number 1063825669 was assigned on June 11, 2014 and the record was last updated on October 11, 2022.

Bianca Moss lists 2 licenses in the registry: #4731 (TN) for Speech-Language Pathologist; #3847 (MS) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bianca Sade Moss, ST?

The NPI number is 1063825669.

What is the phone number of Bianca Moss?

The phone number listed for the practice location is (901) 857-6566.

Where is Bianca Moss located?

12857 Arbor Dr, Olive Branch, MS 38654-9546.

What is the taxonomy code for Bianca Moss?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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