Individual provider Active NPI

Malory Mills-Lynch

  • Speech-Language Assistant
  • Evansville, IN
National Provider Identifier
1962311019
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
29002331A Issued in IN
Practice address
4900 Shamrock Dr Ste 100-102
Evansville, IN 47715-7325
Phone
(812) 479-7337
Fax
(812) 550-1990
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 29002331A IN Primary

Addresses

Primary practice location

4900 Shamrock Dr Ste 100-102
Evansville, IN 47715-7325

Mailing address

4900 Shamrock Dr Ste 100-102
Evansville, IN 47715-7325
Phone (812) 479-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1962311019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SHAMROCK DR STE 100-102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157325",
            "telephone_number": "812-479-7337",
            "fax_number": "812-550-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SHAMROCK DR STE 100-102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157325",
            "telephone_number": "812-479-7337",
            "fax_number": "812-550-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS-LYNCH",
        "first_name": "MALORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "IN",
            "license": "29002331A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.