Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andria Moran, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1043984891

Andria Moran, CCC-SLP is a Qualified Speech Language Pathologist in Swansea, Illinois. Qualified in 1996, 30 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
30
Licensed in
IL
In the registry since
2021
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

100 Rosewood Village Dr
Swansea, IL 62226-2301
Phone: (618) 236-1391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.005241 (IL)

Record details

NPI number1043984891
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 5, 2021
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021
Mailing address30 Fairview Dr, Fairview Heights, IL 62208-1717

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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