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Active NPI 1538644265 Individual Practitioner Female Practitioner

Lydia Jeanette Moon , MA, CCC-SLP

Speech-Language Pathologist • Ladson, SC

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Lydia Moon, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Ladson, SC. Official NPI practice address is registered at 3851 COMMERCIAL CENTER DR.

Practice Location & Contact Primary Location

Practice Address

3851 Commercial Center Dr

Ladson, SC 294564146

Telephone 8433145434
Associated Practice Facility / Clinic
🏢 Tri-County Therapy, Llc Facility NPI 1447591607

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ladson, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
95 Specialists

Practicing in Ladson, SC (3202 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

CMS Verified: 2020-07-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License SC 7249

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License FL SA16049

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

40 Associated Practitioners
Kelli Priest , CCC-SLP

Speech-Language Pathologist

NPI 1003195637

Speech-Language Pathologist (Certificate of Clinical Competence)

Emily Snyder , OTR, L

Occupational Therapist

NPI 1003398140

Occupational Therapist Registered, L

Holly Jones

Speech-Language Pathologist

NPI 1003464942
Kathryn Mazingo

Occupational Therapist

NPI 1003567439
Kayley Crooms , CCC-SLP

Speech-Language Pathologist

NPI 1003621905

Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1013496645

Physical Therapist, Doctor of Physical Therapy, Certified Athletic Trainer

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 08, 2020

Registered at 3851 COMMERCIAL CENTER DR, LADSON, SC 294564146 (Tel: 8433145434)

📍
Updated Business Mailing Address July 08, 2020

Registered at 3851 COMMERCIAL CENTER DR, LADSON, SC 294564146 (Tel: 8433145434)

👤
Provider Name / Credentials Updated July 08, 2020

Recorded as LYDIA MOON, MA, CCC-SLP

NPI Profile Active September 28, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2018

Registered at 1107 MABBETTE ST, KISSIMMEE, FL 347415161 (Tel: 4072018079)

📍
Updated Business Mailing Address September 28, 2018

Registered at 817 TERRACE RIDGE CIR, DAVENPORT, FL 338965269 (Tel: 7246789824)

👤
Provider Name / Credentials Updated September 28, 2018

Recorded as LYDIA MOON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2018

Speech-Language Pathologist (License #SA16049 in FL)

🟢
Initial NPI Registration & Enumeration September 28, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538644265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2018
Last Update: July 08, 2020
Sole Proprietor: No

Mailing Address

3851 Commercial Center Dr

Ladson, SC 294564146

Phone: 8433145434

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.