Individual provider · Type 1 NPI

Shannon Moore

Speech-Language Pathologist · Middletown, NJ

NPI number 1073469995 Active

Practice location

1805 Evans Ln
Middletown, NJ 07748-1883

Call (609) 638-6723 Map

Mailing address

633 W 5th St Ofc 2876B
Los Angeles, CA 90071-2005

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X41YS01003200 (NJ)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1073469995

Shannon Moore's National Provider Identifier is 1073469995, issued on Mar 5, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Middletown, NJ. The record was last updated on Mar 5, 2026.