Provider Demographics
NPI:1902476716
Name:MORAN, GABRIELLE (SLP)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:MORAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 OAK DR
Mailing Address - Street 2:
Mailing Address - City:NORTH STONINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06359-1618
Mailing Address - Country:US
Mailing Address - Phone:401-640-1281
Mailing Address - Fax:
Practice Address - Street 1:2220 S COUNTY TRL STE A
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1536
Practice Address - Country:US
Practice Address - Phone:401-295-2955
Practice Address - Fax:401-295-0955
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist