National Provider Identifier Database

MOORE PEDIATRIC THERAPY SERIVCES
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


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
* Specialist 174400000X
Behavior Analyst 103K00000X
Clinical 1041C0700X
Mental Health 101YM0800X
Pediatrics 225XP0200X
Speech-Language Pathologist 235Z00000X

* Indicates primary specialty

NPI Profile & details for MOORE PEDIATRIC THERAPY SERIVCES

NPI Number 1982864849
Legal business name
LBN
MOORE PEDIATRIC THERAPY SERIVCES
Authorized official CYNTHIA SECURA - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/13/2008
Last updated 07/10/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 7200169

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.

Reviews for MOORE PEDIATRIC THERAPY SERIVCES

There are currently no reviews for MOORE PEDIATRIC THERAPY SERIVCES


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