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

Jacqueline Moore, MSSLP

Individual provider Speech-Language Pathologist · NPI 1962059980

Jacqueline Moore, MSSLP is a Speech-Language Pathologist in LA Plata, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2019

Practice location Address checks out

5980 Radio Station Rd
LA Plata, MD 20646-3337
Phone: (301) 932-6610
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (MD)

Record details

NPI number1962059980
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSLP
Sole proprietorYes
NPI enumeratedAugust 23, 2019
Last updated in NPPESAugust 23, 2019
Mailing address60 Freedom Rd, Sewell, NJ 08080-1833

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