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
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 38714 (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.