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Contact Information

MOORE PEDIATRIC THERAPY SERIVCES
1163 SEVEN LAKES DR
WEST END, NC27376
 Phone: 910-673-5437
 Fax: 910-673-5438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Behavior Analyst

103K00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MOORE PEDIATRIC THERAPY SERIVCES · (Female)

NPI Number 1982864849
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2008
Last updated 07/10/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 7200169
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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