DOREEN R. MOODY


Address: 63 Elm Street, Heartland, ME 04943
Phone: 2073685146

DOREEN R. MOODY (NPI# 1851608988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851608988
Entity Type Individual
Full Name DOREEN R. MOODY
Credential M.A.CCC-SLP
Practice Address 63 Elm Street
Heartland
ME 04943
Mailing Address 30 Catell St
Bangor
ME 04401-6802
Practice Telephone 2073685146
Practice Fax Number 2073682192
Mailing Telephone 2079902093
Enumeration Date 2010-09-10
Last Update Date 2010-09-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SP789 ME Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ME SPEECH-LANGUAGE PATHOLOGY SP789 01

Office Location

Street Address 63 ELM STREET
City HEARTLAND
State ME
Zip Code 04943

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346415940 Roger Paul Martin Denturist 38 Moore Street, Hartland, ME 04943 2008-04-24
1497967087 Victoria Rice Massage Therapist Corner of Commercial and Academy Streets, Hartland, ME 04943 2007-05-04
1558404384 Robert A Carignan Chiropractor 192 Commercial St, Hartland, ME 04943 2007-02-14
1952729766 Haley Levasseur Physical Therapy Assistant 105 Mechanic Street, Camden, ME 04943 2014-03-31
1326108002 North Country Associates, Inc Skilled Nursing Facility 95 Main Street, Hartland, ME 04943 2006-12-11
1033345236 Ensign Boarding Home, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 83 Elm Street, Hartland, ME 04943-0685 2009-06-03
1912197914 Jennifer Elizabeth Bagley Nurse Practitioner 10 Great Moose Dr, Hartland, ME 04943-3022 2007-07-26
1952487274 Richard John Huber Dentist 24 Great Moose Dr, Hartland, ME 04943-3022 2006-10-29
1376156828 Kiley Rae Knapp Nurse Practitioner 10 Great Moose Dr, Hartland, ME 04943-3022 2020-08-25
1740766765 Nitzana Aviva Aufiero Nurse Practitioner 10 Great Moose Dr, Hartland, ME 04943-3022 2018-07-12
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942708805 Megan Daugherty Speech-Language Pathologist 4060 Abbey Rd, Heartland, TX 75126-3406 2018-01-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922609064 Kassidy Elizabeth Seeley Speech-Language Pathologist 1227 Us Highway 1a, Harrington, ME 04643-3201 2020-11-05
1447851563 Beyond Your Horizons Speech Therapy Speech-Language Pathologist 81 Madison Dr, Naples, ME 04055-5039 2020-11-04
1538773882 Hannah Page Guerrette Speech-Language Pathologist 2 Strawberry Ave, Lewiston, ME 04240 2020-09-03
1033729140 Speech and Languagediagnostics LLC Speech-Language Pathologist 76 Babbidge Rd, Falmouth, ME 04105-2479 2020-08-04
1619587912 Jaime Strain Speech-Language Pathologist 71 Pineland Dr, New Gloucester, ME 04260-5127 2020-08-03
1215552195 Central Maine Speech and Language Speech-Language Pathologist 931 China Rd, Albion, ME 04910-6705 2020-06-16
1043844079 Tareyn Vigna Speech-Language Pathologist 14 Frances Bell Dr, Bridgton, ME 04009-1278 2020-02-28
1184275919 Maeve Corish Speech-Language Pathologist 340 Sokokis Trl, East Waterboro, ME 04030-5411 2019-09-23
1740839125 Kylee Beth Holman Speech-Language Pathologist 666 Finson Rd Lot 250, Bangor, ME 04401-2455 2019-09-08
1366094070 Sabrina Laura Williams Speech-Language Pathologist Po Box 249, Old Town, ME 04468-0249 2019-07-12
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Competitor

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City HEARTLAND
Zip Code 04943

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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