Moore, Mallory
Moore, Mallory is an individual health care provider with primary practice located at 2309 S Service Rd W , Ruston LA 71270-3167. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Moore, Mallory can be contacted via phone (318) 232-1969.Contact Information
Primary practice address
2309 S Service Rd W
Ruston LA 71270-3167
Phone: (318) 232-1969
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 8340 | Louisiana |
Profile Details
| NPI number | 1649824236 |
|---|---|
| LBN Legal business name | Moore, Mallory |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2019 |
| Last updated | Jul 31st, 2019 - about 7 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 | 1649824236 | NPPES |
| Louisiana | Other | 8340 | SPEECH LICENSE |
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