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

Breanna Moore, MSSLP

Individual provider Speech-Language Pathologist · NPI 1033567078

Breanna Moore, MSSLP is a Speech-Language Pathologist in Roscoe, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

5851 Rural Edge Dr
Roscoe, IL 61073-7994
Phone: (815) 669-9491
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 242.003762 (IL)

Record details

NPI number1033567078
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSLP
Sole proprietorYes
NPI enumeratedJune 1, 2016
Last updated in NPPESJune 1, 2016
Mailing address5851 Rural Edge Dr, Roscoe, IL 61073-7994

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