Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mallory Edwards, SLP-CCC

Individual provider Speech-Language Pathologist · NPI 1720632557

Mallory Edwards, SLP-CCC is a Speech-Language Pathologist in Madisonville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2019.

Licensed in
TN
In the registry since
2019

Practice location Address checks out

103 College St S
Madisonville, TN 37354-1462
Phone: (423) 622-1551
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6294 (TN)

Record details

NPI number1720632557
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP-CCC
Sole proprietorNo
NPI enumeratedJuly 30, 2019
Last updated in NPPESSeptember 15, 2026
Certification dateSeptember 15, 2026

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