Mallory Breanne Libbert, M.S., CCC-SLP

Speech-Language Pathologist · Jasper, IN

Individual Active NPI

NPI number 1619686391

Practice location

3150 Saint Charles St
Jasper, IN 47546-1858
Phone
(812) 634-6570
Fax
(812) 634-7919

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NPI record

NPI
1619686391
Entity type
Individual (Type 1)
Enumeration date
November 21, 2022
Last updated
November 21, 2022
Certified
November 21, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 22006418A IN

Mailing address

2131 W 5TH Ave
Jasper, IN 47546-9720
Phone
(812) 827-1062

About Mallory Libbert

Mallory Breanne Libbert, M.S., CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 3150 Saint Charles St, Jasper, IN 47546-1858. The NPI number 1619686391 was assigned on November 21, 2022 and the record was last updated on November 21, 2022.

Mallory Libbert lists a license in the registry: #22006418A (IN) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mallory Breanne Libbert, M.S., CCC-SLP?

The NPI number is 1619686391.

What is the phone number of Mallory Libbert?

The phone number listed for the practice location is (812) 634-6570.

Where is Mallory Libbert located?

3150 Saint Charles St, Jasper, IN 47546-1858.

What is the taxonomy code for Mallory Libbert?

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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