Mallory Leible

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2023020711 Issued in MO

Practice address

206 Hospital LN
Perryville, MO 63775-1448

Phone

(573) 768-3216

NPI assigned

Oct 5, 2023

Last updated

Oct 5, 2023By 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

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": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1467232413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WOODHAVEN",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637756292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 HOSPITAL LN",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751448",
            "telephone_number": "573-768-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBLE",
        "first_name": "MALLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2023020711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Landholt, PHARMD
• Scott Landry, M.D.
• Kurt Dominick Larose, LCSW, LICSW
• Layton Administration, LLC
• Lauren Leible
• Ester Castillo Limpiphiphatn, MD
• Theresa M Lipe, APRN, FNP-C
• Bayley Nicole Little, FNP-BC
• Ellen Little, PT
• Brooke Lowes

• Speech-Language Pathologist in Perryville, MO
• Providers in Perryville, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.