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Contact Information

ELISABETH A MOODY, MS CCC-SLP
111 NATURE WALK PKWY
SUITE 101
SAINT AUGUSTINE, FL32092
 Phone: 904-230-7761
 Fax: 904-230-7763
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ELISABETH A MOODY · (Female)

NPI Number 1558389718
Status Active
Credentials MS CCC-SLP
Entity Individual
Enumeration date 07/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # SA5418
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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