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

Individual provider Speech-Language Pathologist · NPI 1841093051

Ryan Robert Moore, SLP is a Qualified Speech Language Pathologist in Rochester, Minnesota. Qualified in 2025, 1 year ago. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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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 529106 (MN)

Record details

NPI number1841093051
Entity typeIndividual (Type 1)
GenderMale
Credentials SLP
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing addressPo Box 860912, Minneapolis, MN 55486-0912

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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