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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | SP789 | ME | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | SPEECH-LANGUAGE PATHOLOGY | SP789 | 01 |
Street Address |
63 ELM STREET |
City | HEARTLAND |
State | ME |
Zip Code | 04943 |
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 |
Find all providers in zip 04943 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942708805 | Megan Daugherty | Speech-Language Pathologist | 4060 Abbey Rd, Heartland, TX 75126-3406 | 2018-01-25 |
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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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.