MEDICARE: ROCHELLE MOSELEY M.S.

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	:	1790161883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCHELLE MOSELEY M.S.

Provider Business Mailing Address
First Line	:	1809 E BROADWAY ST #122
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-8597
Country	:	US
Telephone Number	:	407-359-5693
Fax Number	:	407-792-5693

Provider Business Practice Location Address
First Line	:	2625 BARNA AVE STE H
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32780-3417
Country	:	US
Telephone Number	:	321-362-4099
Fax Number	:	321-348-5750

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

Provider Enumeration Date	:	07/30/2015
Last Update Date	:	04/28/2024

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Directions to “ ROCHELLE MOSELEY M.S.” Practice Location

Language	Start Address	Practice Location

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