Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breanna Moore, MSSLP

Individual provider Speech-Language Pathologist · NPI 1033567078

Breanna Moore, MSSLP is a Speech-Language Pathologist in Roscoe, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

5851 Rural Edge Dr
Roscoe, IL 61073-7994
Phone: (815) 669-9491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 242.003762 (IL)

Record details

NPI number1033567078
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSLP
Sole proprietorYes
NPI enumeratedJune 1, 2016
Last updated in NPPESJune 1, 2016

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