IndividualActive
Amy Moore, ST
NPI 1851037113 · Speech-Language Pathologist · Iuka, MS
Provider details
- NPI number
- 1851037113
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- ST
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
503 Constitution Dr
Iuka, MS 38852-8605
Phone: (662) 424-9500
Fax: (662) 424-9592
Approximate (ZIP-level) locationGet directions
Mailing address
503 Constitution Dr
Iuka, MS 38852-8605
Registry dates
- Enumerated
- 2022-05-10
- Last updated
- 2022-05-10
- Certified
- 2022-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.