Individual provider · Type 1 NPI

Mallory Peterson

Speech-Language Pathologist · Titusville, FL

NPI number 1104519867 Active

Practice location

2625 Barna Ave Ste H
Titusville, FL 32780-3417

Call (321) 362-4099 Map

Mailing address

1680 Rochelle Pkwy
Merritt Island, FL 32952-5650

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

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, resonan…

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About NPI 1104519867

Mallory Peterson's National Provider Identifier is 1104519867, issued on May 30, 2023. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Titusville, FL. The record was last updated on May 30, 2023.