Connie Susan Moore, MS,CCC/SLP

Speech-Language Pathologist · Salem, IL

Individual Active NPI

NPI number 1972747491

Practice location

1201 Hawthorn Rd
Salem, IL 62881-1028
Phone
(618) 548-4884
Fax
(618) 548-2150

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NPI record

NPI
1972747491
Entity type
Individual (Type 1)
Enumeration date
April 28, 2009
Last updated
April 28, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 12098284 IL

Mailing address

409 E 3rd St
Flora, IL 62839-2503
Phone
(618) 662-8934

About Connie Moore

Connie Susan Moore, MS,CCC/SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1201 Hawthorn Rd, Salem, IL 62881-1028. The NPI number 1972747491 was assigned on April 28, 2009 and the record was last updated on April 28, 2009.

Connie Moore lists a license in the registry: #12098284 (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 Connie Susan Moore, MS,CCC/SLP?

The NPI number is 1972747491.

What is the phone number of Connie Moore?

The phone number listed for the practice location is (618) 548-4884.

Where is Connie Moore located?

1201 Hawthorn Rd, Salem, IL 62881-1028.

What is the taxonomy code for Connie Moore?

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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