Heather Mallard
Heather Mallard is a Speech-Language Pathologist in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida and New York.
- Licensed in
- FL, NY
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
2915 W Estrella St Apt 1Tampa, FL 33629-6051
Phone: (863) 944-3178
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 033592 (NY) |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence SA16392 (FL) |
Record details
| NPI number | 1316615875 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2021 |
| Last updated in NPPES | December 12, 2023 |
| Certification date | December 12, 2023 |
| Mailing address | 2915 W Estrella St Apt 1, Tampa, FL 33629-6051 |
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