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

Bianca Sade Moss, ST

Individual provider Speech-Language Pathologist · NPI 1063825669

Bianca Sade Moss, ST is a Speech-Language Pathologist in Olive Branch, Mississippi. Licensed in Mississippi and Tennessee. Registered with an NPI since 2014.

Licensed in
MS, TN
In the registry since
2014
Specialties on file
2

Practice location Address checks out

12857 Arbor Dr
Olive Branch, MS 38654-9546
Phone: (901) 857-6566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 4731 (TN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 3847 (MS)

Record details

NPI number1063825669
Entity typeIndividual (Type 1)
GenderFemale
Credentials ST
Sole proprietorNo
NPI enumeratedJune 11, 2014
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022
Mailing address12857 Arbor Dr, Olive Branch, MS 38654-9546

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