Alyssa G. Moomaw, MS, CCC-SLP/L

Speech-Language Pathologist · Decatur, IL

Individual Active NPI

NPI number 1780947838

Practice location

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone
(217) 464-2966
Fax
(217) 464-1633

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NPI record

NPI
1780947838
Entity type
Individual (Type 1)
Enumeration date
June 22, 2012
Last updated
June 22, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 146009778 IL

About Alyssa Moomaw

Alyssa G. Moomaw, MS, CCC-SLP/L is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1800 E Lake Shore Dr, Decatur, IL 62521-3810. The NPI number 1780947838 was assigned on June 22, 2012 and the record was last updated on June 22, 2012.

Alyssa Moomaw lists a license in the registry: #146009778 (IL) 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 Alyssa G. Moomaw, MS, CCC-SLP/L?

The NPI number is 1780947838.

What is the phone number of Alyssa Moomaw?

The phone number listed for the practice location is (217) 464-2966.

Where is Alyssa Moomaw located?

1800 E Lake Shore Dr, Decatur, IL 62521-3810.

What is the taxonomy code for Alyssa Moomaw?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

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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