| Alicia Sierra Moss, MA, CF -SLP | |
| 6688 Main St, Gloucester, VA 23061-5194 | |
| (804) 210-1555 | |
| (804) 210-1556 | 
| Full Name | Alicia Sierra Moss | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 6688 Main St, Gloucester, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962823856 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2202007245 (Virginia) | Primary | 
| Provider Name | Legacy Healthcare Services Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1740820828 PECOS PAC ID: 2163339722 Enrollment ID: O20200313002051 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alicia Sierra Moss, MA, CF -SLP 204 Armstrong Dr Apt 3, Hampton, VA 23669-4417 Ph: (804) 687-1114 | Alicia Sierra Moss, MA, CF -SLP 6688 Main St, Gloucester, VA 23061-5194 Ph: (804) 210-1555 | 
| Mrs. Annie N Campbell,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6099 T C Walker Rd, Gloucester, VA 23061 Phone: 888-880-9270 | |
| Ms. Kathryn Anna Bowen, M.ED. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6688 Main St, Gloucester, VA 23061 Phone: 804-210-1555 | |
| Elizabeth Heather Congrove,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6688 Main St, Gloucester, VA 23061 Phone: 804-210-1555 | |
| Bayside Children's Therapy Network, Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6688 Main St, Gloucester, VA 23061 Phone: 804-210-1555 | |
| Mrs. Jennifer Clark Baucom, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6688 Main St, Gloucester, VA 23061 Phone: 804-210-1555 | |
| Ms. Jackie Schools James X, SPEECH THERAPIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6680 Short Ln, Gloucester, VA 23061 Phone: 804-693-2526 | |
| Nicole Perry Kain, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6688 Main Street, P.o. Box 130, Gloucester, VA 23061 Phone: 804-229-4418 |