Dance, Mallory Jordan
Dance, Mallory Jordan is an individual health care provider with primary practice located at 4815 Liberty Ave Ste 443 , Pittsburgh PA 15224-2156. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Dance, Mallory Jordan can be contacted via phone (412) 621-2656.Contact Information
Primary practice address
4815 Liberty Ave Ste 443
Pittsburgh PA 15224-2156
Phone: (412) 621-2656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AT006476 | Pennsylvania |
Profile Details
| NPI number | 1003352691 |
|---|---|
| LBN Legal business name | Dance, Mallory Jordan |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2017 |
| Last updated | Nov 17th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003352691 | NPPES |
| Other | 15441266 | CAQH |
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