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

Individual provider Speech-Language Pathologist · NPI 1548627771

Mallory Pace is a Qualified Speech Language Pathologist in Edmond, Oklahoma. Qualified in 2013, 13 years ago. Practices as a sole proprietor. Licensed in Oklahoma.

Years since qualifying
13
Licensed in
OK
In the registry since
2016
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Practice location Address checks out

7020 NW 160th St
Edmond, OK 73013
Phone: (518) 477-0263
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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 4469 (OK)

Record details

NPI number1548627771
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 19, 2016
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020
Mailing address1451 24th St Apt 504, Denver, CO 80205-2193

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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