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

Mrs. Jennifer Kate Moore, CCCSLP

Individual provider Speech-Language Pathologist · NPI 1013308469

Mrs. Jennifer Kate Moore, CCCSLP is a Speech-Language Pathologist in San Rafael, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

99 Montecillo Rd
San Rafael, CA 94903-3308
Phone: (415) 889-3833
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 12446 (CA)

Record details

NPI number1013308469
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCCSLP
Sole proprietorNo
NPI enumeratedFebruary 6, 2015
Last updated in NPPESFebruary 6, 2015

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