Tabatha Renita Moore, CCC-SLP | |
211 Churment Ct, Durham, NC 27703-6435 | |
(910) 770-4839 | |
Not Available |
Full Name | Tabatha Renita Moore |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 211 Churment Ct, Durham, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326624594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (North Carolina) | Primary |
Provider Name | Elevation Rehab, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578144747 PECOS PAC ID: 2062814106 Enrollment ID: O20220201002301 |
Mailing Address | Practice Location Address |
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Tabatha Renita Moore, CCC-SLP 211 Churment Ct, Durham, NC 27703-6435 Ph: () - | Tabatha Renita Moore, CCC-SLP 211 Churment Ct, Durham, NC 27703-6435 Ph: (910) 770-4839 |
Ellen Liverman Brown, MSP, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 155 Baker House Trent Dr, Durham, NC 27710 Phone: 919-684-6271 | |
Mrs. Diana Acevedo, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40 Duke Medicine Cir # 1i, Durham, NC 27710 Phone: 919-684-3451 Fax: 919-684-6271 | |
Brave Roots Speech Therapy Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4405 Live Oak Trl, Durham, NC 27705 Phone: 919-907-0849 | |
Mrs. Katy Ann Waugh, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Division Of Speech Pathology & Audiology, 155 Baker House, Trent Dr., Durham, NC 27710 Phone: 919-668-4295 Fax: 919-668-2741 | |
Mrs. Meghan Amy Ward, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40 Duke Medicine Cir, Clinic 1i, Durham, NC 27710 Phone: 919-684-3451 | |
Mrs. Wendy Holt Lee, M.ED.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4215 Swarthmore Rd, Durham, NC 27707 Phone: 919-493-4248 | |
Virginia Edwards, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 155 Baker House Trent Dr, Durham, NC 27710 Phone: 919-684-6271 |