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

Mallory Nichole Humphrey, AUD

Individual provider Audiologist · NPI 1881269074

Mallory Nichole Humphrey, AUD is a Qualified Audiologist in Saint Clair Shores, Michigan. Qualified in 2021, 5 years ago. Practices with Hearing Care Center Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1156
Phone: (586) 779-7610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 1601001020 (MI)

Record details

NPI number1881269074
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorNo
NPI enumeratedMay 21, 2021
Last updated in NPPESJuly 15, 2022
Certification dateJuly 15, 2022

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hearing Care Center Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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