Mrs Amy Marie Moomaw, CCCSLP is a
Speech-language Pathologist based in Virginia Bch, Virginia. Mrs Amy Marie Moomaw is licensed to practice in Virginia (license number 2202003817) and her current practice location is
6401 Auburn Dr, Virginia Bch, Virginia. She can be reached at her office (for appointments etc.) via phone at
(757) 420-1485.
NPI number for Mrs Amy Marie Moomaw is 1902018807 and her current mailing address is 1214 Redgate Ave, Apt D, Norfolk, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902018807.
Healthcare Provider's Profile
| Full Name | Mrs Amy Marie Moomaw |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
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| Location | 6401 Auburn Dr, Virginia Bch, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902018807
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 02/02/2013
Medical Identifiers
Medical identifiers for Mrs Amy Marie Moomaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902018807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 2202003817 (Virginia) | 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. Mrs Amy Marie Moomaw 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 |
Mrs Amy Marie Moomaw, CCCSLP 1214 Redgate Ave, Apt D, Norfolk, VA 23507-1344 Ph: (757) 303-8219 | Mrs Amy Marie Moomaw, CCCSLP 6401 Auburn Dr, Virginia Bch, VA 23464-3601 Ph: (757) 420-1485 |
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