NPI 1336580950

Mallory Nicole Moore, SLP

Practitioner Speech-Language Pathologist Clemson, SC

Practice location

Address: 101 Chapman Hill Rd STE 101, Clemson, SC 29631-2194
Phone: (864) 653-4071
Mailing address: 1 Independence PT STE 212, Greenville, SC 29615-4536

Registered specialties (2)

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 7188 (SC)

Other Speech-Language Pathologist providers in South Carolina →

Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 9698 (NC)

Registry record

NPI: 1336580950
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2013
Record last updated: 10 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.