National Provider Identifier
Julie Moore, M.S.ED., CCC/SLP
Julie Moore, M.S.ED., CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lake View, NY and a listed phone number of (716) 926-1770.
Profile Overview
- NPI
- 1912133679
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 08, 2009
- Last Updated
- September 03, 2024
Practice Location
- 6050 Fairway Ct
- Lake View, NY 14085-9568
Phone: (716) 926-1770
Mailing Address
- 72 Strathmore Ave
- Buffalo, NY 14220-1735
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1912133679
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Julie
- Name Prefix
- Mrs.
- Credential
- M.S.ED., CCC/SLP
- Provider Other Last Name
- Daley
- Provider Other First Name
- Julie
- Provider Other Credential Text
- M.S.ED., CCC/SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 72 Strathmore Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14220-1735
- Mailing Country
- US
- Mailing Phone
- (716) 926-1770
- Practice Street Address
- 6050 Fairway Ct
- Practice City
- Lake View
- Practice State
- NY
- Practice ZIP Code
- 14085-9568
- Practice Country
- US
- Practice Phone
- (716) 926-1770
- Enumeration Date
- June 08, 2009
- Last Updated
- September 03, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)