Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISABETH ANNE MOODY, MS CCC-SLP
ActiveELISABETH ANNE MOODY, MS CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in ST. AUGUSTINE, Florida. NPI 1558389718 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · ST. AUGUSTINE, FL
Registration Details
- NPI Number
- 1558389718
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2006 (20.073641761605 yrs)
- Last Updated
- Jul 8, 2007
- License
-
SA5418 (FL)
Practice Information
- Address
-
111 NATURE WALK PKWYSUITE 101ST. AUGUSTINE, FL, 32092Browse FL providers · Browse ZIP 32092
- Phone
- 9042307761
- Fax
- 9042307763
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.