Individual provider · Type 1 NPI

Ethan Moreno

Speech-Language Assistant · Corpus Christi, TX

NPI number 1548630601 Active

Practice location

4444 Corona Dr, Ste. 234
Corpus Christi, TX 78411-4324

Fax (855) 448-9769

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X38714 (TX)

Speech-Language Assistant: Definition to come...

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About NPI 1548630601

Ethan Moreno's National Provider Identifier is 1548630601, issued on Oct 1, 2015. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Corpus Christi, TX. The record was last updated on Oct 1, 2015.