MEDICARE: MOORE SPEECH PLLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134995335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOORE SPEECH PLLC

Provider Business Mailing Address
First Line	:	1005 RAIL WAY UNIT 1
Second Line	:
City	:	COSBY
State	:	TN
Zip	:	37722-3416
Country	:	US
Telephone Number	:	423-608-2885
Fax Number	:	865-761-4045

Provider Business Practice Location Address
First Line	:	642 COSBY HWY
Second Line	:
City	:	NEWPORT
State	:	TN
Zip	:	37821-3418
Country	:	US
Telephone Number	:	423-608-2885
Fax Number	:	865-761-4045

Authorized Official
Title or Position	:	OWNER/SPEECH-LANGUAGE PATHOLOGIST
Name	:	CAROLINE MOORE
Credential	:	M.ED., M.A. CCC/SLP
Telephone Number	:	423-608-2885

Provider Enumeration Date	:	11/29/2023
Last Update Date	:	12/10/2025

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Directions to “MOORE SPEECH PLLC ” Practice Location

Language	Start Address	Practice Location

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