Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Mahala Record, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1386161230

Mallory Mahala Record, MS, CCC-SLP is a Qualified Speech Language Pathologist in Jackson, Tennessee. Qualified in 2015, 11 years ago. Practices with West Tennessee Hearing and Speech Center, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

65 Ridgecrest Rd
Jackson, TN 38305
Phone: (731) 668-6076
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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 5894 (TN)

Record details

NPI number1386161230
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 22, 2017
Last updated in NPPESJune 5, 2018

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice West Tennessee Hearing And Speech Center, Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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