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

Individual provider Speech-Language Pathologist · NPI 1144056235

Mallory Nicole Nathan, MS, CCC-SLP is a Speech-Language Pathologist in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
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

495 Winn Way Ste 210
Decatur, GA 30030-1710
Phone: (770) 209-9826
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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 SLP013645 (GA)

Record details

NPI number1144056235
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 13, 2024
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

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