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

Mallory Brock

Individual provider Speech-Language Pathologist · NPI 1104769579

Mallory Brock is a Qualified Speech Language Pathologist in Cookeville, Tennessee. Graduated from University of South Alabama College of Medicine in 2023, 3 years ago. Practices with Encore Rehabilitation, Inc, a 182-clinician group and accepts Medicare assignment. Licensed in Alabama and Tennessee.

Years since qualifying
3
Trained at
University of South Alabama College of Medicine
Licensed in
AL, TN
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone: (931) 528-2541
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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 0884 (TN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 6007 (AL)

Record details

NPI number1104769579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address75 E Veterans Dr Apt A302, Cookeville, TN 38501-4698

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Encore Rehabilitation, Inc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cookeville