JOHANNA MOELLER (NPI# 1295262053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295262053 |
| Entity Type | Individual |
| Full Name | JOHANNA MOELLER |
| Credential | M.A., CF-SLP |
| Practice Address |
8703 Highway 17 Bypass S Suite I Myrtle Beach SC 29575 |
| Practice Telephone | 8434571053 |
| Practice Fax Number | 8432152910 |
| Mailing Telephone | 8434571053 |
| Mailing Fax Number | 8432152910 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP.6224.SPIN | SC | Speech, Language and Hearing Service Providers |
| Street Address |
8703 HIGHWAY 17 BYPASS S SUITE I |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956561 | Adam Christian | Student in an Organized Health Care Education/Training Program | 611 S Hollywood Dr., Surfside Beach, SC 29575 | 2020-06-11 |
| 1740824481 | Latasha Irene Jones | Home Health | 1180 5th Ave N Ext, Unit I, Surfside Beach, SC 29575 | 2019-11-06 |
| 1518430693 | Surfside Counseling, LLC | Counselor | 1500 North Hwy 17 Business, Suite 104, Surfside Beach, SC 29575 | 2019-01-10 |
| 1316424393 | Mobile Medical PC | Clinic/Center | 1991 Glenns Bay Rd Ste 102b, Myrtle Beach, SC 29575 | 2018-07-23 |
| 1841786845 | Eva C Yu | Acupuncturist | 1514 Us-17 Bus, Surfside Beach, SC 29575 | 2018-07-03 |
| 1104227560 | Office Align Incorporated | Chiropractor | 8733 Bypass 17, Surfside Beach, SC 29575 | 2014-09-04 |
| 1972923738 | Walmart | Pharmacy | 125 Maryport Drive, Myrtle Beach, SC 29575 | 2014-04-21 |
| 1164719472 | South Beach Dental Office Inc. | Dentist | 8848 Hwy 17 Bypass, Surfside Beach, SC 29575 | 2011-07-07 |
| 1083943815 | Prs II, LLC | Physical Therapist | 3076 Dick Pond Road Unit 4, Myrtle Beach, SC 29575 | 2009-12-07 |
| 1255598645 | William Burwick Cox Jr. | Dentist | 1012 8th Avenue Southwest, Surfside Beach, SC 29575 | 2008-05-22 |
| Find all providers in zip 29575 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396399895 | Devin A Kemper | Speech-Language Pathologist | 820 Oxbow Dr, Myrtle Beach, SC 29579-5159 | 2019-08-01 |
| 1528560877 | Parent's Choice Therapy, LLC | Speech-Language Pathologist | 532 Chamberlin Rd, Myrtle Beach, SC 29588-5431 | 2018-03-02 |
| 1437670023 | Andrea R Veneziale | Speech-Language Pathologist | 8703 Highway 17 Byp S # 1, Myrtle Beach, SC 29575-7701 | 2017-07-05 |
| 1811378193 | Kayla M Scott | Speech-Language Pathologist | 1356 Glenns Bay Rd, 208-g, Myrtle Beach, SC 29575-4743 | 2015-06-12 |
| 1316375298 | Miriam Michelle Peacock Beaber | Speech-Language Pathologist | 4810 Brookside Ln, Myrtle Beach, SC 29579-3197 | 2013-10-31 |
| 1083041347 | Cynthia Marie Funston | Speech-Language Pathologist | 950 International Dr, Myrtle Beach, SC 29579-3488 | 2013-10-02 |
| 1437595071 | William Byron Jones | Speech-Language Pathologist | 714 Bonnie Dr, Myrtle Beach, SC 29588-6001 | 2013-05-21 |
| 1902160609 | Kelli Renee Hamblen | Speech-Language Pathologist | 704 21st Ave N, Myrtle Beach, SC 29577-7400 | 2012-06-27 |
| 1710245436 | Judy Ann Mewhorter | Speech-Language Pathologist | 1191 Brighton Ave, Myrtle Beach, SC 29588-5408 | 2012-05-01 |
| 1942501994 | Sheila Alice Hensley | Speech-Language Pathologist | 1751 Dick Pond Rd, Myrtle Beach, SC 29575-5508 | 2010-11-08 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29575 |
Please comment or provide details below to improve the information on JOHANNA MOELLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.