Dawn A. Mallard MA CCC-SLP

NPI 1013926385 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1013926385
Gender Female
Enumeration Date 08/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
880 A1A N
STE 18A
PONTE VEDRA BEACH FL, 32082-3220, US
Phone (904) 778-7501
Fax (904) 778-7504
Business Location
PO BOX 48116
JACKSONVILLE FL, 32247-8116, US
Phone (904) 725-1657
Fax (904) 725-7247
Toxanomy
Taxonomy Code 235Z00000X
License State Florida
License Number SA5628
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According to our database, Dawn A. Mallard MA CCC-SLP NPI is 1013926385, taxonomy code is 235Z00000X and license number is SA5628, license state is located at Florida. Dawn A. Mallard MA CCC-SLP physically located at 880 A1a N, Ponte Vedra Beach FL, 32082-3220. NPI Number Dawn A. Mallard MA CCC-SLP has the Individual type.

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1013926385 NPI number is provided on an as is basis without warranty of any kind. 1013926385 is maintained by the National Plan & Provider Enumeration System. The contents of Dawn A. Mallard MA CCC-SLP are for informational purposes only.