Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Blair Howard, MEDCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1619710175

Mallory Blair Howard, MEDCCC-SLP is a Qualified Speech Language Pathologist in Dublin, Georgia. Qualified in 2023, 3 years ago. Practices with Southern Speech Pathology Services, LLC, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2024
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Practice location Address checks out

113 E Gaines St
Dublin, GA 31021-6157
Phone: (478) 595-0317
Fax: (888) 249-2172
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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

Record details

NPI number1619710175
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDCCC-SLP
Sole proprietorNo
NPI enumeratedJune 13, 2024
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Southern Speech Pathology Services, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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