MEDICARE: DARRIN MOSHE MS, CCC-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	SA 3024	FL

General Provider Information

NPI Number	:	1336427715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARRIN MOSHE MS, CCC-SLP

Provider Business Mailing Address
First Line	:	125 SHORE CT
Second Line	:	108A
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-5504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 SHORE CT
Second Line	:	108A
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-5504
Country	:	US
Telephone Number	:	561-512-7599
Fax Number	:

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

Provider Enumeration Date	:	08/02/2011
Last Update Date	:	08/02/2011

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Directions to “ DARRIN MOSHE MS, CCC-SLP” Practice Location

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