Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin Ann Moody, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1760761001

Kristin Ann Moody, CCC-SLP is a Speech-Language Pathologist in Waterloo, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
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

1400 State Route 96 Apt D44
Waterloo, NY 13165-9564
Phone: (315) 745-9660
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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 020214-1 (NY)

Record details

NPI number1760761001
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 4, 2011
Last updated in NPPESAugust 4, 2011

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