National Provider Identifier
Sarah Moore, NYS TECHER CERT.
Sarah Moore, NYS TECHER CERT. is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Ithaca, NY and a listed phone number of (607) 257-1551.
Profile Overview
- NPI
- 1063764322
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- October 11, 2012
- Last Updated
- January 28, 2020
Practice Location
- 555 Warren RD
- Ithaca, NY 14850-1862
Phone: (607) 257-1551
Mailing Address
- 1940 Collard RD
- Skaneateles, NY 13152-8902
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1063764322
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Sarah
- Credential
- NYS TECHER CERT.
- Mailing Street Address
- 1940 Collard RD
- Mailing City
- Skaneateles
- Mailing State
- NY
- Mailing ZIP Code
- 13152-8902
- Mailing Country
- US
- Mailing Phone
- (252) 503-0205
- Practice Street Address
- 555 Warren RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1862
- Practice Country
- US
- Practice Phone
- (607) 257-1551
- Enumeration Date
- October 11, 2012
- Last Updated
- January 28, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 28, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)