Mallory Hyatt
Individual provider Active NPI Speech-Language Pathologist · Dumas, AR
NPI 1487062279 · NPPES record last updated Dec 19, 2016
Key facts
- NPI
- 1487062279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP#P8791 (AR)
- Practice address
- 101 Court St
Dumas, AR 71639-2214 - Phone
- (870) 382-4954
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#P8791 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#P8791 | AR | Yes |
Addresses
Primary practice location
101 Court St
Dumas, AR 71639-2214
Mailing address
101 Court St
Dumas, AR 71639-2214
Other providers in Dumas, AR
- Lisa Hill
- Arlesha Hilson
- Tamara Holland
- Dillon C Howell
- Charlotte A Hughes
- Timothy Neal Irizarry
- Troy Jackson
- Jimmi Lynn James
- Jodie Partridge Center
- Vedna O Johnson
All providers in Dumas, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.