Stacey Moulton, is a
Speech-language Pathologist based in Hyde Park, Vermont. Stacey Moulton is licensed to practice in Vermont (license number 144.0114464) and her current practice location is
110 Manning Rd, Hyde Park, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 279-3359.
NPI number for Stacey Moulton is 1396469680 and her current mailing address is 110 Manning Rd, Hyde Park, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396469680.
Healthcare Provider's Profile
| Full Name | Stacey Moulton |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 110 Manning Rd, Hyde Park, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396469680
- Provider Enumeration Date: 09/29/2022
- Last Update Date: 09/29/2022
Medical Identifiers
Medical identifiers for Stacey Moulton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396469680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 144.0114464 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Moulton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stacey Moulton,
110 Manning Rd,
Hyde Park, VT 05655-9431
Ph: () - | Stacey Moulton,
110 Manning Rd,
Hyde Park, VT 05655-9431
Ph: (802) 279-3359 |
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