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

Mrs. Julie Moore, MSED, CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1912133679

Mrs. Julie Moore, MSED, CCC/SLP is a Speech-Language Pathologist in Lake View, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

6050 Fairway Ct
Lake View, NY 14085-9568
Phone: (716) 926-1770
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 016158-1 (NY)

Record details

NPI number1912133679
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED , CCC/SLP
Sole proprietorYes
NPI enumeratedJune 8, 2009
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

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