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

Mallory Kocmoud, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1992372973

Mallory Kocmoud, MSCCC-SLP is a Speech-Language Pathologist in Mesa, Arizona. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3635 E Inverness Ave Ste 104
Mesa, AZ 85206-3848
Phone: (480) 719-6535
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1992372973
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedJune 8, 2021
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021
Mailing address4760 E Baseline Rd Apt 1089, Mesa, AZ 85206-4685

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