MRS. Mallory Vail Dippold Shelton, M.S, CCC- SLP
NPI #1427561158 in Gladewater, Texas
Provider Information
- NPI Number
- 1427561158
- Entity Type
- Individual
- Name
- MRS. Mallory Vail Dippold Shelton, M.S, CCC- SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S, CCC- SLP
- Enumeration Date
- Nov 16, 2017
- Last Updated
- Nov 16, 2017
Practice Location
- Address
- 10350 UNION GROVE RD
- City
- Gladewater
- State
- Texas
- ZIP Code
- 75647-3646
- Phone
- (903) 736-9413
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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