Tara Moxham, MA CCC-SLP
NPI #1902233737 in Glen Allen, Virginia
Provider Information
- NPI Number
- 1902233737
- Entity Type
- Individual
- Name
- Tara Moxham, MA CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC-SLP
- Enumeration Date
- Oct 11, 2013
- Last Updated
- Oct 11, 2013
Practice Location
- Address
- 4400 LUMBERJACK LN
- City
- Glen Allen
- State
- Virginia
- ZIP Code
- 23060-6275
- Phone
- (321) 952-1818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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