Provider Demographics
NPI:1194137794
Name:MOORE, JENNIFER EVAN (MSLP, CPSP, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:EVAN
Last Name:MOORE
Suffix:
Gender:
Credentials:MSLP, CPSP, CCC-SLP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:EVAN
Other - Last Name:CURL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 W WILLIAMS ST UNIT 346
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-1998
Mailing Address - Country:US
Mailing Address - Phone:919-448-6018
Mailing Address - Fax:855-264-2501
Practice Address - Street 1:501 W WILLIAMS ST UNIT 346
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1998
Practice Address - Country:US
Practice Address - Phone:919-448-6018
Practice Address - Fax:855-264-2501
Is Sole Proprietor?:No
Enumeration Date:2014-05-30
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist