National Provider Identifier

Lydia Moens, CCC-SLP

Lydia Moens, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Canandaigua, NY and a listed phone number of (585) 993-1320.

NPI 1831841527Canandaigua, NYSpeech-Language Pathologist

Profile Overview

NPI
1831841527
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
January 24, 2022
Last Updated
January 24, 2022

Practice Location

  • 5415 County Road 30
  • Canandaigua, NY 14424-7964

Phone: (585) 993-1320

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1831841527
Entity Type
Individual
Last Name
Moens
First Name
Lydia
Name Prefix
Miss
Credential
CCC-SLP
Mailing Street Address
5415 County Road 30
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-7964
Mailing Country
US
Mailing Phone
(585) 394-1190
Practice Street Address
5415 County Road 30
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-7964
Practice Country
US
Practice Phone
(585) 993-1320
Enumeration Date
January 24, 2022
Last Updated
January 24, 2022
Sex
Female
Sole Proprietor
No
Certification Date
January 20, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)