Watson, Mallory

Watson, Mallory is an sole proprietor health care provider with primary practice located at 13155 Sw 134Th St , Miami FL 33186-4486. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Watson, Mallory can be contacted via phone (786) 306-2453.

Contact Information

Primary practice address
13155 Sw 134Th St Miami FL 33186-4486
Phone: (786) 306-2453
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SI3854 Florida

Profile Details

NPI number 1437613239
LBN Legal business name Watson, Mallory
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2019
Last updated Jan 25th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437613239 NPPES
Florida MEDICAID SPEECH

Popular Providers