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

Individual provider Speech-Language Pathologist · NPI 1053017038

Mackenzie Cross, CCC-SLP is a Speech-Language Pathologist in Tifton, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
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

405 Love Ave
Tifton, GA 31794-4403
Phone: (229) 402-7188
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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 SLP011345 (GA)

Record details

NPI number1053017038
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 1, 2023
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023
Mailing address611 W 3rd St, Ocilla, GA 31774-1737

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