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

Individual provider Speech-Language Pathologist · NPI 1588070643

Mallory Dickard is a Qualified Speech Language Pathologist in Ridgeland, Mississippi. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2014
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Practice location Address checks out

207 W Jackson St Ste 2
Ridgeland, MS 39157-2355
Phone: (601) 362-0859
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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 S3872 (MS)

Record details

NPI number1588070643
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2014
Last updated in NPPESJuly 9, 2014
Mailing address415 Lincoln Ave, Greenwood, MS 38930-2319

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Ridgeland