Mallory Peterson
NPI #1104519867 in Titusville, Florida
Provider Information
- NPI Number
- 1104519867
- Entity Type
- Individual
- Name
- Mallory Peterson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 30, 2023
- Last Updated
- May 30, 2023
Practice Location
- Address
- 2625 BARNA AVE STE H
- City
- Titusville
- State
- Florida
- ZIP Code
- 32780-3417
- Phone
- (321) 362-4099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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