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

Individual provider Speech-Language Pathologist · NPI 1629474895

Mallory Sanders, MCD, CCC-SLP is a Qualified Speech Language Pathologist in North Charleston, South Carolina. Qualified in 2012, 14 years ago. Practices with Fox Rehabilitation Services of South Carolina, LLC, a 293-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
14
Licensed in
SC
In the registry since
2014
What do these letters mean?
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

3096 Nantuckett Ave
North Charleston, SC 29420-8973
Phone: (843) 455-6079
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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 5419 (SC)

Record details

NPI number1629474895
Entity typeIndividual (Type 1)
GenderFemale
Credentials MCD , CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 14, 2014
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Fox Rehabilitation Services Of South Carolina, Llc — 293 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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