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

Individual provider Speech-Language Pathologist · NPI 1073469995

Shannon Moore is a Qualified Speech Language Pathologist in Middletown, New Jersey. Qualified in 2018, 8 years ago. Licensed in New Jersey.

Years since qualifying
8
Licensed in
NJ
In the registry since
2026
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Practice location Address checks out

1805 Evans Ln
Middletown, NJ 07748-1883
Phone: (609) 638-6723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YS01003200 (NJ)

Record details

NPI number1073469995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2026
Last updated in NPPESMarch 5, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Middletown