Individual provider · Type 1 NPI

Prima Marie Moore, SLP CCC

Speech-Language Pathologist · West Covina, CA

NPI number 1093645467 Active

Practice location

1216 S Glendora Ave
West Covina, CA 91790-4924

Call (626) 488-9707 Map

Mailing address

14071 Crestline Pl
Rancho Cucamonga, CA 91739-2140

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X19389 (CA)

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 1093645467

Prima Marie Moore, SLP CCC's National Provider Identifier is 1093645467, issued on May 19, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in West Covina, CA. The record was last updated on May 19, 2026.