MEDICARE: KM SPEECH & LANGUAGE SERVICES, 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	:	1780421941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KM SPEECH & LANGUAGE SERVICES, LLC

Provider Business Mailing Address
First Line	:	23 OLD PASTURE RD
Second Line	:
City	:	DRACUT
State	:	MA
Zip	:	01826-3151
Country	:	US
Telephone Number	:	978-273-0568
Fax Number	:	978-584-8034

Provider Business Practice Location Address
First Line	:	23 OLD PASTURE RD
Second Line	:
City	:	DRACUT
State	:	MA
Zip	:	01826-3151
Country	:	US
Telephone Number	:	978-273-0568
Fax Number	:

Authorized Official
Title or Position	:	OWNER/SLP
Name	:	KRISTINA DANIELLE MORAN
Credential	:	M.S. CCC-SLP
Telephone Number	:	978-273-0568

Provider Enumeration Date	:	07/13/2024
Last Update Date	:	03/07/2026

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Directions to “KM SPEECH & LANGUAGE SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

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