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

Mallory Wilcox, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1669241410

Mallory Wilcox, MACCC-SLP is a Speech-Language Pathologist in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

3901 Beaubien Blvd 3rd Fl Carls Bldg
Detroit, MI 48201
Phone: (313) 745-4263
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101006473 (MI)

Record details

NPI number1669241410
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedDecember 21, 2023
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address3901 Beaubien Blvd, 3rd Floor Carls Building, Detroit, MI 48201

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