Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mallory Moore, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1306474796

Dr. Mallory Moore, CCC-SLP is a Speech-Language Pathologist in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3535 S National Ave
Springfield, MO 65807-7310
Phone: (417) 269-5535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2012014543 (MO)

Record details

NPI number1306474796
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020
Mailing address3535 S National Ave, Springfield, MO 65807-7310

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