| Mr James Daniel Moss, MSCCC - SLP | |
|
1034 N 500 W, Provo, UT 84604-3380 | |
| (801) 373-7850 | |
| (801) 357-7997 |
| Full Name | Mr James Daniel Moss |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 1034 N 500 W, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285657148 | NPI | - | NPPES |
| 61512924102 | Other | UT | UTAH STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 61512924102 (Utah) | Primary |
| Provider Name | Ihc Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Daniel Moss, MSCCC - SLP Po Box 30180, Salt Lake City, UT 84130-0180 Ph: (801) 357-7475 | Mr James Daniel Moss, MSCCC - SLP 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 373-7850 |
Margaret Michele Maxfield, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7448 | |
Melanie Javid Francis, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7448 | |
Abbey Barrus, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Mrs. Amy Baxter, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7448 | |
Elbea Mealoha Stonier, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1185 E 300 N, Provo, UT 84606 Phone: 801-852-4525 | |
Kristen N. Gilbert, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7448 | |
Rachel Cathleen Watts, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-921-9376 |