Mallory Peterson

Speech-Language Pathologist · Titusville, FL

Individual Active NPI

NPI number 1104519867

Practice location

2625 Barna Ave Ste H
Titusville, FL 32780-3417
Phone
(321) 362-4099

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NPI record

NPI
1104519867
Entity type
Individual (Type 1)
Enumeration date
May 30, 2023
Last updated
May 30, 2023
Certified
May 30, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Mailing address

1680 Rochelle Pkwy
Merritt Island, FL 32952-5650
Phone
(321) 615-4624

About Mallory Peterson

Mallory Peterson is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 2625 Barna Ave Ste H, Titusville, FL 32780-3417. The NPI number 1104519867 was assigned on May 30, 2023 and the record was last updated on May 30, 2023.

Frequently asked questions

What is the NPI number of Mallory Peterson?

The NPI number is 1104519867.

What is the phone number of Mallory Peterson?

The phone number listed for the practice location is (321) 362-4099.

Where is Mallory Peterson located?

2625 Barna Ave Ste H, Titusville, FL 32780-3417.

What is the taxonomy code for Mallory Peterson?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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