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

Individual provider Speech-Language Pathologist · NPI 1477037257

Kathleen D Moore, MA, CCC-SLP is a Speech-Language Pathologist in Andover, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2018
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

16817 Zion St NW
Andover, MN 55304-2091
Phone: (651) 955-3327
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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 10182 (MN)

Record details

NPI number1477037257
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 18, 2018
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024

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