LYDIA JEANETTE MOON MA CCC-SLP NPI 1538644265

NPI Information

  • NPI: 1538644265
  • Provider Name: LYDIA JEANETTE MOON, MA, CCC-SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 3851 COMMERCIAL CENTER DR
    LADSON, SC
    ZIP 29456
  • Phone: (843) 314-5434

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NPI Details

Lydia Jeanette Moon, MA, CCC-SLP is a speech language pathologist in Ladson, SC. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Lydia Jeanette Moon, MA, CCC-SLP NPI is 1538644265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3851 COMMERCIAL CENTER DR
LADSON, SC
ZIP 29456-146
Phone: (843) 314-5434

The enumeration date for this NPI number is 9/28/2018 and was last updated on 7/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistSA16049FLORIDANo
2235Z00000XSpeech-Language Pathologist7249SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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