Individual provider · Type 1 NPI

Mallory Ellen Imberg, SLP

Speech-Language Pathologist · Aurora, MN

NPI number 1174024095 Active

Practice location

5211 Highway 110
Aurora, MN 55705-1522

Mailing address

1702 University Dr S
Fargo, ND 58103-4940

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X9978 (MN)

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 1174024095

Mallory Ellen Imberg, SLP's National Provider Identifier is 1174024095, issued on Feb 26, 2018. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Aurora, MN. The record was last updated on Feb 26, 2018.