National Provider Identifier
Gabrielle Holder Moore, M.S.CCC LIC./SLP
Gabrielle Holder Moore, M.S.CCC LIC./SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 816-3160.
Profile Overview
- NPI
- 1528375722
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 09, 2010
- Last Updated
- September 09, 2010
Practice Location
- 118 Hampshire St
- School 18
- Buffalo, NY 14213-2014
Phone: (716) 816-3160
Mailing Address
- 33 Ash St
- School 12, Speech Department
- Buffalo, NY 14204-1445
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1528375722
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Gabrielle
- Middle Name
- Holder
- Name Prefix
- Mrs.
- Credential
- M.S.CCC LIC./SLP
- Provider Other Last Name
- Holder
- Provider Other First Name
- Gabrielle
- Provider Other Middle Name
- Jenene
- Provider Other Credential Text
- M.S.CCC LIC/SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 33 Ash St
- Mailing Address Line 2
- School 12, Speech Department
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14204-1445
- Mailing Country
- US
- Mailing Phone
- (716) 816-4410
- Practice Street Address
- 118 Hampshire St
- Practice Address Line 2
- School 18
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-2014
- Practice Country
- US
- Practice Phone
- (716) 816-3160
- Enumeration Date
- September 09, 2010
- Last Updated
- September 09, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)