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

Individual provider Speech-Language Pathologist · NPI 1407179054

Cynthia Moreno, MSCCC-SLP is a Qualified Speech Language Pathologist in Maryville, Illinois. Qualified in 2009, 17 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
17
Licensed in
MO
In the registry since
2010
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Practice location Address checks out

6955 State Route 162
Maryville, IL 62062-8531
Phone: (618) 288-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6768 N Highway 67, Florissant, MO 63034-2742 — (314) 741-9101

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2009015706 (MO)

Record details

NPI number1407179054
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedMarch 10, 2010
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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