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

Prima Marie Moore, SLPCCC

Individual provider Speech-Language Pathologist · NPI 1093645467

Prima Marie Moore, SLPCCC is a Speech-Language Pathologist in West Covina, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1216 S Glendora Ave
West Covina, CA 91790-4924
Phone: (626) 488-9707
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 19389 (CA)

Record details

NPI number1093645467
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLPCCC
Sole proprietorNo
NPI enumeratedMay 19, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address14071 Crestline Pl, Rancho Cucamonga, CA 91739-2140

Other providers in West Covina