MRS. Katessa Nicole Moore, M.S.
NPI #1134247893 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1134247893
- Entity Type
- Individual
- Name
- MRS. Katessa Nicole Moore, M.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S.
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7304 RED PINE DR
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72916-8805
- Phone
- (479) 518-0692
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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