Lacy Moore, MA CCC-SLP

NPI #1174754386 in Austin, Texas

Provider Information

NPI Number
1174754386
Entity Type
Individual
Name
Lacy Moore, MA CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MA CCC-SLP
Enumeration Date
Aug 5, 2009
Last Updated
Aug 5, 2009

Practice Location

Address
12429 SCOFIELD FARMS DR
City
Austin
State
Texas
ZIP Code
78758
Phone
(512) 339-8687

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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