Individual provider · Type 1 NPI

Mallory Marie McCorkle, MA

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1033766704 Active

Practice location

800 Poly Pl
Brooklyn, NY 11209-7104

Mailing address

11059 E Bethany Dr Ste 238
Aurora, CO 80014-2622

Other practice locations

  • 11059 E Bethany Dr Ste 238, Aurora, CO 80014-2622 · (303) 617-2300

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033766704

Mallory Marie McCorkle, MA's National Provider Identifier is 1033766704, issued on Aug 19, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 9, 2026.