Individual provider · Type 1 NPI

Mariah Dawn Moore, M.S. CF-SLP

Speech-Language Pathologist · St. Petersburg, FL

NPI number 1417737057 Active

Practice location

5042 42nd St S
St. Petersburg, FL 33711-4720

Mailing address

3680 46th Ave S Unit 540
St. Petersburg, FL 33711-3860

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist 222Q00000XNone listed
Speech-Language Pathologist Primary 235Z00000X22853 (FL)

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 1417737057

Mariah Dawn Moore, M.S. CF-SLP's National Provider Identifier is 1417737057, issued on Oct 2, 2023. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jan 16, 2026.