Individual provider · Type 1 NPI

Mallory Jean Waisanen, CCC-SLP

Speech-Language Pathologist · Flint, MI

NPI number 1114402575 Active

Practice location

1 Hurley Plz
Flint, MI 48503-5902

Call (810) 429-8923 Map

Mailing address

9437 Sheridan Rd
Gaines, MI 48436-8933

Other practice locations

  • 2919 Wilder Rd, Bay City, MI 48706-9299 · (989) 671-5738

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X7101005773 (MI)

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 1114402575

Mallory Jean Waisanen, CCC-SLP's National Provider Identifier is 1114402575, issued on Oct 1, 2018. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Flint, MI. The record was last updated on Dec 8, 2022.