Healthcare Provider Details

I. General information

NPI: 1467371047
Provider Name (Legal Business Name): GABRIELLE PAIGE MOORE M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GABI MOORE M.S., CCC-SLP

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 PARSLEY BLVD
CHEYENNE WY
82007-1014
US

IV. Provider business mailing address

6716 FAITH DR APT A
CHEYENNE WY
82009-2779
US

V. Phone/Fax

Practice location:
  • Phone: 307-632-2991
  • Fax:
Mailing address:
  • Phone: 307-287-2547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP-1454
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: