Individual provider · Type 1 NPI
Jacey Lynn Moore, B.A., SLPA
Speech-Language Assistant · Dallas, TX
NPI number
1740994920
Active
Practice location
14651 Dallas Pkwy Ste 200
Dallas, TX 75254-8856
Mailing address
22 Huntington Woods Estates Dr
Tomball, TX 77377-4700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 42963 (TX) |
Speech-Language Assistant: Definition to come...
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About NPI 1740994920
Jacey Lynn Moore, B.A., SLPA's National Provider Identifier is 1740994920, issued on Jan 11, 2023. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Dallas, TX. The record was last updated on Jan 11, 2023.