Sally Mailloux

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

144.0115229 Issued in VT

Practice address

201 Mary Hogan Dr
Mary Hogan School
Middlebury, VT 05753-1328

Phone

(802) 388-4421

NPI assigned

Mar 28, 2017

Last updated

Mar 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1093247272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MOUNTAIN VIEW RDG",
            "city": "NEW HAVEN",
            "state": "VT",
            "postal_code": "054723124",
            "telephone_number": "802-453-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MARY HOGAN DR",
            "address_2": "MARY HOGAN SCHOOL",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531328",
            "telephone_number": "802-388-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILLOUX",
        "first_name": "SALLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "144.0115229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Lee Lowell, LCSW
• Lianne Lussier, BCBA
• Courtney Mackey
• Judd C Mackey
• Emily M Mahar Cannon, N.D.
• Greg Mairs
• James A Malcolm III, MD
• Greg A Mandel, PHYSICAL THERAPY
• Maple View Oral and Maxillofacial Surgery, PC
• Gary Francis Margolis, PH.D.

• Speech-Language Pathologist in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Speech-Language Pathologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.