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NPI Code Detail

MEDICARE: SOPHIE MOORE

MEDICARE:   SOPHIE  MOORE
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1659201010
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIE MOORE
Provider Business Mailing Address
First Line : 1040 BROOK RUN RD
Second Line :
City : HALIFAX
State : VA
Zip : 24558-3003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4110 E PARHAM RD STE 101
Second Line :
City : RICHMOND
State : VA
Zip : 23228-2776
Country : US
Telephone Number : 804-672-8588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

Similar Medicare Providers

1073303004 — MS. SYDNEE MARIE LOFTIN MS, CF-SLP
Practice Location Address:
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Directions to “ SOPHIE MOORE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.