Mallory Petty, MSCF-SLP
Mallory Petty, MSCF-SLP is a Speech-Language Pathologist in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1600 Los Gamos Dr # A120San Rafael, CA 94903-1806
Phone: (415) 444-7400
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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 | 1497444335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSCF-SLP |
| Sole proprietor | Yes |
| NPI enumerated | May 5, 2023 |
| Last updated in NPPES | May 5, 2023 |
| Certification date | May 5, 2023 |
| Mailing address | 8 Aberdeen Rd Apt 3, Somerville, MA 02144-3216 |
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