MEDICARE: TAMMIE HUDDLE MOODY SLP

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	3481	NC

General Provider Information

NPI Number	:	1912853789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMIE HUDDLE MOODY SLP

Provider Business Mailing Address
First Line	:	201 JEB SEAGLE DR
Second Line	:
City	:	LINCOLNTON
State	:	NC
Zip	:	28092-2167
Country	:	US
Telephone Number	:	704-736-1017
Fax Number	:

Provider Business Practice Location Address
First Line	:	4137 NC 73 HWY
Second Line	:
City	:	IRON STATION
State	:	NC
Zip	:	28080-7709
Country	:	US
Telephone Number	:	704-732-0761
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “ TAMMIE HUDDLE MOODY SLP” Practice Location

Language	Start Address	Practice Location

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