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

Mallory Wine, CF, SLP

Individual provider Speech-Language Pathologist · NPI 1013758614

Mallory Wine, CF, SLP is a Speech-Language Pathologist in Little Rock, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2024
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

824 N Tyler St
Little Rock, AR 72205-3535
Phone: (501) 664-2961
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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 202687 (AR)

Record details

NPI number1013758614
Entity typeIndividual (Type 1)
GenderFemale
Credentials CF , SLP
Sole proprietorYes
NPI enumeratedJune 5, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address13819 Ironton Cut Off Rd, Little Rock, AR 72206-5279

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