Individual provider · Type 1 NPI

Mallory Petty, M.S. CF-SLP

Speech-Language Pathologist · San Rafael, CA

NPI number 1497444335 Active

Practice location

1600 Los Gamos Dr # A120
San Rafael, CA 94903-1806

Call (415) 444-7400 Map

Mailing address

8 Aberdeen Rd Apt 3
Somerville, MA 02144-3216

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 1497444335

Mallory Petty, M.S. CF-SLP's National Provider Identifier is 1497444335, issued on May 5, 2023. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in San Rafael, CA. The record was last updated on May 5, 2023.