MRS. Mallory Breanne Libbert, M.S., CCC-SLP

NPI #1619686391 in Jasper, Indiana

Provider Information

NPI Number
1619686391
Entity Type
Individual
Name
MRS. Mallory Breanne Libbert, M.S., CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S., CCC-SLP
Enumeration Date
Nov 21, 2022
Last Updated
Nov 21, 2022

Practice Location

Address
3150 SAINT CHARLES ST
City
Jasper
State
Indiana
ZIP Code
47546-1858
Phone
(812) 634-6570

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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