Provider Demographics
NPI:1093956369
Name:MORONEY, SHEILA HOUSTON (SLP)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:HOUSTON
Last Name:MORONEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 NELSON BLVD
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-2151
Mailing Address - Country:US
Mailing Address - Phone:845-279-1680
Mailing Address - Fax:
Practice Address - Street 1:11 OSCAWANA LAKE RD
Practice Address - Street 2:
Practice Address - City:PUTNAM VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10579-3003
Practice Address - Country:US
Practice Address - Phone:845-528-2011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014297-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist