Individual provider · Type 1 NPI

Mallory Lynn Tillis, SLP

Speech-Language Pathologist · Jacksonville, FL

NPI number 1124519145 Active

Practice location

6820 Southpoint Pkwy Ste 9
Jacksonville, FL 32216-6277

Call (039) 888-8754 Map

Mailing address

15701 E 1st Ave Ste 106
Aurora, CO 80011-9037

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000XSA14700 (FL)
Speech-Language Pathologist Primary 235Z00000XSLP.0005885 (CO)

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 1124519145

Mallory Lynn Tillis, SLP's National Provider Identifier is 1124519145, issued on May 24, 2018. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 28, 2024.