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

Neely Nicole Mack

Individual provider Speech-Language Assistant · NPI 1568185957

Neely Nicole Mack is a Speech-Language Assistant in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2022.

Licensed in
AZ
In the registry since
2022

Practice location Address checks out

6635 W Happy Valley Rd Ste A104-218
Glendale, AZ 85310-2609
Phone: (602) 920-2686
Show map & directions

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

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence SLPA14123 (AZ)

Record details

NPI number1568185957
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2022
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing address1029 E Lodgepole Dr, Gilbert, AZ 85298-7313

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