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

Tara Moxham, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1902233737

Tara Moxham, MACCC-SLP is a Speech-Language Pathologist in Glen Allen, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2013

Practice location Address checks out

4400 Lumberjack Ln
Glen Allen, VA 23060-6275
Phone: (321) 952-1818
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 2202007194 (VA)

Record details

NPI number1902233737
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedOctober 11, 2013
Last updated in NPPESOctober 11, 2013
Mailing address4400 Lumberjack Ln, Glen Allen, VA 23060-6275

Other providers in Glen Allen