Mallory Ann Khantharasy, M.S., CCC-SLP
NPI #1134850738 in San Angelo, Texas
Provider Information
- NPI Number
- 1134850738
- Entity Type
- Individual
- Name
- Mallory Ann Khantharasy, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Jun 23, 2022
- Last Updated
- Jun 23, 2022
Practice Location
- Address
- 1929 CASE AVE
- City
- San Angelo
- State
- Texas
- ZIP Code
- 76904-8230
- Phone
- (325) 234-2242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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