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

Mallory Nicole Moore, SLP

Individual provider Speech-Language Pathologist · NPI 1336580950

Mallory Nicole Moore, SLP is a Qualified Speech Language Pathologist in Clemson, South Carolina. Qualified in 2010, 16 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
16
Licensed in
NC, SC
In the registry since
2013
Specialties on file
2
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

See every abbreviation used in this directory →

Practice location Address checks out

101 Chapman Hill Rd Ste 101
Clemson, SC 29631-2194
Phone: (864) 653-4071
Show map & directions

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

Additional practice locations (1)

  • 487 Lake Concord Rd Ne, Concord, NC 28025-2934 — (704) 355-4645

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7188 (SC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 9698 (NC)

Record details

NPI number1336580950
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedJuly 11, 2013
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020
Mailing address1 Independence Pt Ste 212, Greenville, SC 29615-4536

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clemson