Individual provider · Type 1 NPI

Mallory Brock

Speech-Language Pathologist · Cookeville, TN

NPI number 1104769579 Active

Practice location

1 Medical Center Blvd
Cookeville, TN 38501-4294

Call (931) 528-2541 Map

Mailing address

75 E Veterans Dr Apt A302
Cookeville, TN 38501-4698

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X6007 (AL)
Speech-Language Pathologist Primary 235Z00000X0884 (TN)

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 1104769579

Mallory Brock's National Provider Identifier is 1104769579, issued on Apr 10, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Cookeville, TN. The record was last updated on Apr 10, 2026.