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

Individual provider Speech-Language Pathologist · NPI 1760371298

Mallory Michele Moller, MS is a Qualified Speech Language Pathologist in Edwards, Colorado. Qualified in 2025, 1 year ago. Practices with Vail Clinic Inc, a 120-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

320 Beard Creek Rd
Edwards, CO 81632-6433
Phone: (970) 569-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 181 W Meadow Dr, Vail, CO 81657-5242 — (970) 569-7638

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1760371298
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing addressPo Box 40000, Vail, CO 81658-7520

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Vail Clinic Inc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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