Mallory Shupe
NPI #1205391117 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1205391117
- Entity Type
- Individual
- Name
- Mallory Shupe
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Feb 5, 2019
- Last Updated
- Feb 5, 2019
Practice Location
- Address
- 4935 HILLEGAS RD STE 200
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46818-1943
- Phone
- (260) 338-1241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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