Mallory Clark, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4511 Issued in TN

Practice address

2552 S Church St
Murfreesboro, TN 37127-7135

Phone

(615) 893-2313

NPI assigned

Jun 2, 2015

Last updated

Mar 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in GA, TN2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Expressable Therapy PC

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1134875370

  GA, TN

  Medicare reassignment NPD
• Jones Therapy Services LLC

  dba Associates in Pediatric Therapy

  • Pediatric Rehabilitation Medicine Physician
  • Murfreesboro, TN
  • NPI 1811213556

  Speech-Language Pathologist

  NPD (past)
• Murfreesboro City Schools

  • Local Education Agency (LEA)
  • Murfreesboro, TN
  • NPI 1235539263
  NPD (past)

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1316327653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 S CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277135",
            "telephone_number": "615-893-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 S CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277135",
            "telephone_number": "615-893-2313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 W College St Ste F",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292762",
            "country_code": "US",
            "telephone_number": "615-614-8833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MALLORY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice G Clarida
• Caylee Faith Clark, BT
• Eric Walter Clark, M.D.
• Kristin Clark
• Kyla Clark
• Patrick W. Clark, M.D.
• Penny Abel Clark, LAPSW
• Richie D Clark, PHARMD
• Robert Douglas Clark, LCSW
• S Kathleen Clark, MD

• Speech-Language Pathologist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.