Provider Demographics
NPI:1821519042
Name:MORELAND, ISABELLE (AUD)
Entity type:Individual
Prefix:
First Name:ISABELLE
Middle Name:
Last Name:MORELAND
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:ISABELLE
Other - Middle Name:
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:3901 RAIN BLVD MS 2012-SSB
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-6094
Mailing Address - Fax:913-588-6965
Practice Address - Street 1:3901 RAIN BLVD MS 2012-SSB
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6094
Practice Address - Fax:913-588-6965
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2323231H00000X
MO2017025956231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist