Healthcare Provider Details

I. General information

NPI: 1245142116
Provider Name (Legal Business Name): MORIAH ARLANDRA-STAR THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 N SHAFTER AVE
SHAFTER CA
93263-1967
US

IV. Provider business mailing address

9318 POSEIDON ST
BAKERSFIELD CA
93306-7835
US

V. Phone/Fax

Practice location:
  • Phone: 661-746-8600
  • Fax:
Mailing address:
  • Phone: 661-972-2345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number40485
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: