Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568911147 Individual Practitioner Male Practitioner

Charles Moore

Speech-Language Pathologist • Port St Lucie, FL

Professional Overview & Biography Verified Profile Summary

Charles Moore is a registered healthcare professional specializing in Speech-Language Pathologist in Port St Lucie, FL. Practice services are available at 549 NW LAKE WHITNEY PL STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

549 Nw Lake Whitney Pl Ste 103

Port St Lucie, FL 349861606

Telephone 7722423187

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Port St Lucie, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
46 Specialists

Practicing in Port St Lucie, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SZ 7830

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Justine Theisen , MA CCC-SLP

Speech-Language Pathologist

NPI 1598056707

MACCCSLP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2016

Registered at 549 NW LAKE WHITNEY PL STE 103, PORT ST LUCIE, FL 349861606 (Tel: 7722423187)

📍
Updated Business Mailing Address September 24, 2016

Registered at 549 NW LAKE WHITNEY PL STE 103, PORT ST LUCIE, FL 349861606 (Tel: 7722423187)

👤
Provider Name / Credentials Updated September 24, 2016

Recorded as CHARLES MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2016

Speech-Language Pathologist (License #SZ 7830 in FL)

🟢
Initial NPI Registration & Enumeration September 24, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568911147
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2016
Last Update: September 24, 2016
Sole Proprietor: Yes

Mailing Address

549 Nw Lake Whitney Pl Ste 103

Port St Lucie, FL 349861606

Phone: 7722423187

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.