Mallory Petersons Speech Paradise LLC
NPI #1376332585 in Merritt Island, Florida
Provider Information
- NPI Number
- 1376332585
- Entity Type
- Organization
- Organization Name
- Mallory Petersons Speech Paradise LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 5, 2025
- Last Updated
- May 5, 2025
Practice Location
- Address
- 130 MCLEOD ST
- City
- Merritt Island
- State
- Florida
- ZIP Code
- 32953-3466
- Phone
- (321) 615-4624
Authorized Official
- Name
- MALLORY PETERSON
- Title
- SPEECH LANGUAGE PATHOLOGIST
- Phone
- (321) 615-4624
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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