Mallory Peterson
Mallory Peterson is a Speech-Language Pathologist in Titusville, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2625 Barna Ave Ste HTitusville, FL 32780-3417
Phone: (321) 362-4099
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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 |
|---|
Record details
| NPI number | 1104519867 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 30, 2023 |
| Last updated in NPPES | May 30, 2023 |
| Certification date | May 30, 2023 |
| Mailing address | 1680 Rochelle Pkwy, Merritt Island, FL 32952-5650 |
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