Provider Demographics
NPI:1225005838
Name:MOORE, KARA ANNE-SCARNECCHIA (MA,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:ANNE-SCARNECCHIA
Last Name:MOORE
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:MS
Other - First Name:KARA
Other - Middle Name:ANN
Other - Last Name:SCARNECCHIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,CCC-SLP
Mailing Address - Street 1:565 CRESTMONT CT
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-8326
Mailing Address - Country:US
Mailing Address - Phone:614-545-8435
Mailing Address - Fax:
Practice Address - Street 1:5380 E BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1391
Practice Address - Country:US
Practice Address - Phone:614-755-7591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP7952235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist