IndividualActive
Andrea Moore
NPI 1306403571 · Speech-Language Pathologist · Orangeburg, SC
Provider details
- NPI number
- 1306403571
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5776 (SC)
Practice location
905 Ellis Ave
Orangeburg, SC 29115-5062
Phone: (803) 747-5606
Fax: (803) 937-6032
Mailing address
Po Box 2234
Orangeburg, SC 29116-2234
Registry dates
- Enumerated
- 2019-05-23
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.