MALLORY MAHALA RECORD (NPI# 1386161230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386161230 |
| Entity Type | Individual |
| Full Name | MALLORY MAHALA RECORD |
| Other Name | MALLORY MAHALA GRIGGS |
| Credential | MS, CCC-SLP |
| Practice Address |
65 Ridgecrest Rd Jackson TN 38305 |
| Mailing Address |
65 Ridgecrest Rd Jackson TN 38305-2359 |
| Practice Telephone | 7316686076 |
| Mailing Telephone | 7316686076 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 5894 | TN | Speech, Language and Hearing Service Providers |
| Street Address |
65 RIDGECREST RD |
| City | JACKSON |
| State | TN |
| Zip Code | 38305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134231400 | Kimberli Kaye Moore | Speech-Language Pathologist | 65 Ridgecrest Rd, Jackson, TN 38305-2359 | 2006-08-31 |
| 1023456993 | Kimberly Ann Sams | Audiologist | 65 Ridgecrest Rd, Jackson, TN 38305-2359 | 2013-06-12 |
| 1184917684 | Laura L. Sievers | Audiologist | 65 Ridgecrest Rd, Jackson, TN 38305-2359 | 2011-05-17 |
| 1407086184 | Carla Andreas Thompson | Speech-Language Pathologist | 65 Ridgecrest Rd, Jackson, TN 38305-2359 | 2009-07-16 |
| 1194904342 | West Tennessee Hearing & Speech Center, Inc | Clinic/Center | 65 Ridgecrest Rd, Jackson, TN 38305-2359 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359295 | Chloe Chow | Speech-Language Pathologist | 21 Okeena Dr, Jackson, TN 38305-8819 | 2020-09-08 |
| 1801400874 | Shalvah T Dworkin | Speech-Language Pathologist | 13 Linda Dr, Jackson, NJ 08527-5025 | 2020-09-07 |
| 1710523030 | Focused Speech and Language Development LLC | Speech-Language Pathologist | 26 Illinois Ave, Jackson, NJ 08527-2153 | 2019-11-21 |
| 1992356158 | Emily Mangum | Speech-Language Pathologist | 2046 Meadowbrook Rd, Jackson, MS 39211-6527 | 2019-09-27 |
| 1497305536 | Karen Coveart | Speech-Language Pathologist | 4030 Gatewood Dr, Jackson, MI 49203-5461 | 2019-09-19 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1699337691 | Foster Their Voice, LLC | Speech-Language Pathologist | 1027 Shady Ln, Jackson, MO 63755-2649 | 2019-07-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1801450531 | Stephanie M Tripp | Speech-Language Pathologist | 407 S Wisner St, Jackson, MI 49203-1573 | 2019-04-29 |
| 1114483674 | Sarah Beatrice Robinson | Speech-Language Pathologist | 200 Hampton Woods Road, Jackson, NC 27845 | 2019-02-20 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.