Elisabeth Anne Moody, MS CCC-SLP is a
Speech-language Pathologist based in St. Augustine, Florida. Elisabeth Anne Moody is licensed to practice in Florida (license number SA5418) and her current practice location is
111 Nature Walk Pkwy, Suite 101, St. Augustine, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 230-7761.
NPI number for Elisabeth Anne Moody is 1558389718 and her current mailing address is 6423 Dartmouth Rd, Jacksonville, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558389718.
Healthcare Provider's Profile
Full Name | Elisabeth Anne Moody |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 111 Nature Walk Pkwy, St. Augustine, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558389718
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Elisabeth Anne Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558389718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SA5418 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elisabeth Anne Moody is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elisabeth Anne Moody, MS CCC-SLP 6423 Dartmouth Rd, Jacksonville, FL 32217-2483 Ph: (904) 230-7761 | Elisabeth Anne Moody, MS CCC-SLP 111 Nature Walk Pkwy, Suite 101, St. Augustine, FL 32092 Ph: (904) 230-7761 |
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