Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962661066 Individual Practitioner Female Practitioner

Susan N. Moore , CCC-SLP

Speech-Language Pathologist • Mount Ulla, NC

Professional Overview & Biography Verified Profile Summary

Susan Moore, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Mount Ulla, NC. Practice services are available at 1086 JENKINS BRANCH LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1086 Jenkins Branch Ln

Mount Ulla, NC 281258699

Telephone 7046630816
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mount Ulla, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Mount Ulla, NC (7242 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 NC 6190

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7412014 (NC)

Practice Associates & Co-Workers

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

25 Associated Practitioners
Tamyra Allen

Speech-Language Pathologist

NPI 1003133927
Karen Blackwelder , PT

Physical Therapist

NPI 1013247279

Physical Therapist

Susan Allegro , OTR, L

Occupational Therapist

NPI 1023398856

Occupational Therapist Registered, L

Bonnie Schwengel

Speech-Language Pathologist

NPI 1134465719
Marla Mckenna , CCC SLP

Speech-Language Pathologist

NPI 1285691162

Speech-Language Pathologist (Certificate of Clinical Competence)

Gregory Walker

Speech-Language Pathologist

NPI 1316787625

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 10, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2008

Registered at 1086 JENKINS BRANCH LN, MOUNT ULLA, NC 281258699 (Tel: 7046630816)

📍
Updated Business Mailing Address October 10, 2008

Registered at 1086 JENKINS BRANCH LN, MOUNT ULLA, NC 281258699 (Tel: 7046630816)

👤
Provider Name / Credentials Updated October 10, 2008

Recorded as SUSAN MOORE, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2008

Speech-Language Pathologist (License #6190 in NC)

🟢
Initial NPI Registration & Enumeration June 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1962661066
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2008
Last Update: October 10, 2008
Sole Proprietor: Yes

Mailing Address

1086 Jenkins Branch Ln

Mount Ulla, NC 281258699

Phone: 7046630816

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.