MEDICARE: MORANO SPEECH THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1700371051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORANO SPEECH THERAPY, LLC

Provider Business Mailing Address
First Line	:	6260 E PORTIA ST
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-1585
Country	:	US
Telephone Number	:	203-928-7607
Fax Number	:

Provider Business Practice Location Address
First Line	:	7330 N 16TH ST # C-200
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5237
Country	:	US
Telephone Number	:	203-928-7607
Fax Number	:	480-269-9032

Authorized Official
Title or Position	:	OWNER/SPEECH-LANGUAGE PATHOLOGIST
Name	:	NINA LUISA MORANO
Credential	:	CCC-SLP
Telephone Number	:	203-928-7607

Provider Enumeration Date	:	06/28/2018
Last Update Date	:	02/26/2025

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Directions to “MORANO SPEECH THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

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