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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTIN ANN MOODY, CCC-SLP

Active Sole Proprietor

KRISTIN ANN MOODY, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in WATERLOO, New York. NPI 1760761001 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · WATERLOO, NY

Registration Details

NPI Number
1760761001
Provider Type
Individual
Gender
Female
NPI Issued
Aug 4, 2011 (14.885274983656 yrs)
Last Updated
Aug 4, 2011
License
020214-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
1400 STATE ROUTE 96
APARTMENT D44
WATERLOO, NY, 131659564
Browse NY providers · Browse ZIP 13165
Phone
3157459660
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in WATERLOO, NY

Name Credential NPI
MRS. TRACI L. FITCH M.S. 1942362553
JENNIFER L. MARQUART 1407067622
MISS KRISTINE ANN ODDI MS/CCC/SLP 1417102591
MRS. JOANNE FARULA COREY SPEECH-LANGUAGE PATH 1528203759
EMILY BANZER JENSEN SLP 1528672904
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.