Provider Demographics
NPI:1285939595
Name:MOSES, NATALIE R (MS, CCC-A)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:R
Last Name:MOSES
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4697 HARRISON STREET
Mailing Address - Street 2:BELMONT COMMUNITY HOSPITAL
Mailing Address - City:BELLAIRE
Mailing Address - State:OH
Mailing Address - Zip Code:26003-1338
Mailing Address - Country:US
Mailing Address - Phone:740-671-1460
Mailing Address - Fax:
Practice Address - Street 1:4697 HARRISON STREET
Practice Address - Street 2:BELMONT COMMUNITY HOSPITAL
Practice Address - City:BELLAIRE
Practice Address - State:OH
Practice Address - Zip Code:26003-1338
Practice Address - Country:US
Practice Address - Phone:740-671-1460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-18
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA01548231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVA-0239OtherWV LICENSE