IndividualActive
Angie Moore, SLP
NPI 1386395648 · Speech-Language Pathologist · Peachtree City, GA
Provider details
- NPI number
- 1386395648
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SLP004851 (GA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
324 Stevens Entry
Peachtree City, GA 30269-1325
Phone: (678) 619-0178
Fax: (678) 701-1139
Approximate (ZIP-level) locationGet directions
Mailing address
106 Rocky Bay Ln
Senoia, GA 30276-6721
Registry dates
- Enumerated
- 2022-01-18
- Last updated
- 2022-01-18
- Certified
- 2022-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.