Provider Demographics
NPI:1427939610
Name:MORETTI, JOSIE (MS, C-SLDS)
Entity type:Individual
Prefix:
First Name:JOSIE
Middle Name:
Last Name:MORETTI
Suffix:
Gender:F
Credentials:MS, C-SLDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10233 STONEMEDE LN
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-7643
Mailing Address - Country:US
Mailing Address - Phone:980-297-8994
Mailing Address - Fax:
Practice Address - Street 1:10233 STONEMEDE LN
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-7643
Practice Address - Country:US
Practice Address - Phone:980-297-8994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist