Mallory R. Harris, M.A.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP9295 Issued in OH

Practice address

3570 Executive Dr Ste 111
Uniontown, OH 44685-8712

Phone

(330) 595-9059

NPI assigned

Apr 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Innovative Speech & Swallowing Partners LLC

  • Speech-Language Pathologist
  • Uniontown, OH
  • NPI 1588027866
  Medicare reassignment NPD

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1669616660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 EXECUTIVE DR STE 111",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858712",
            "telephone_number": "330-595-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 EXECUTIVE DR STE 111",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858712",
            "telephone_number": "330-595-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MALLORY",
        "middle_name": "R.",
        "name_prefix": "Miss",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP9295",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gutowski, PHARMD
• Jennifer Briana Hallock, MSN, WHNP-BC
• David Hamer
• Scott T Hamler, M.D.
• Christine Harden
• Stephanie Hartman, CNP
• Stephanie Katherine Hasapis-Williamson, PT, DPT
• Asma Hassan, NP
• Hattie Larlham Center for Children With Disabilities
• Hattie Larlham Center for Children With Disablilites

• Speech-Language Pathologist in Uniontown, OH
• Providers in Uniontown, 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 Oct 18, 2021; 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.