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

Mrs. Alicia Rena Mallady, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1326295379

Mrs. Alicia Rena Mallady, MACCC-SLP is a Qualified Speech Language Pathologist in Saint Louis, Missouri. Qualified in 1998, 28 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
28
Licensed in
MO
In the registry since
2008
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7733 Forsyth Blvd
Saint Louis, MO 63105-1817
Phone: (800) 677-1202
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 116651 (MO)

Record details

NPI number1326295379
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedAugust 21, 2008
Last updated in NPPESAugust 21, 2008

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Louis