Provider Demographics
NPI:1912382995
Name:MOAYER, MONA
Entity Type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:MOAYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5936 NORA LYNN DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-1055
Mailing Address - Country:US
Mailing Address - Phone:818-312-3419
Mailing Address - Fax:
Practice Address - Street 1:5936 NORA LYNN DR
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-1055
Practice Address - Country:US
Practice Address - Phone:818-312-3419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant