Mallory Sharp, MA-CF, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2017220 Issued in OH

Practice address

789 Stoneybrook TRL
Fairborn, OH 45324-6021

Phone

(937) 878-0262

Fax

(937) 878-8407

NPI assigned

Jun 8, 2017

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1578092060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 LANTERN LN",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430642104",
            "telephone_number": "614-570-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 STONEYBROOK TRL",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246021",
            "telephone_number": "937-878-0262",
            "fax_number": "937-878-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "MALLORY",
        "credential": "MA-CF, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "2017220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Sewell
• Terry L. Shaffer, D.C.
• Kandarp Shah, M.D.
• Prasun Jayesh Shah, MD
• Sana Shameem, MD
• Jordan Rebecca Shavers, BA, CDCA
• Regina A Shearer
• Ashton Shellabarger
• Kathryn Sherer
• Hannah Shirley

• Speech-Language Pathologist in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.