Mallory Petty, MS CF-SLP
Speech-Language Pathologist, in San Rafael, California
1497444335- Practice location
- 1600 Los Gamos Dr # A120, San Rafael, CA 94903-1806
- Phone
- 415-444-7400
- Fax
- —
- Last updated
- May 5, 2023
Mallory Petty is a Speech-Language Pathologist, based in San Rafael, CA. Mallory Petty practices in San Rafael, CA and has the professional credentials of MS CF-SLP. The NPI Number for Mallory Petty is 1497444335. The current practice location address for Mallory Petty is 1600 Los Gamos Dr # A120, San Rafael, CA 94903-1806 and can be reached out via phone at 415-444-7400.
Provider Profile Details
- NPI Number
- 1497444335
- Provider Name
- Mallory Petty
- Credential
- MS CF-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1600 Los Gamos Dr # A120, San Rafael, CA 94903-1806
- Phone Number
- 415-444-7400
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 5, 2023
- Last Update Date
- May 5, 2023
- Certification Date
- May 5, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1600 Los Gamos Dr # A120
San Rafael, CA 94903-1806 - City
- San Rafael
- State
- California
- Zip
- 94903-1806
- Phone Number
- 415-444-7400
Provider Business Mailing Address Details
- Address
- 8 Aberdeen RD Apt 3
Somerville, MA 02144-3216 - City
- Somerville
- State
- MA
- Zip
- 02144-3216
License Information
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mallory Petty, MS CF-SLP?
The NPI number of Mallory Petty, MS CF-SLP is 1497444335. It was assigned on May 5, 2023 and is currently active in the NPPES registry.
What is the specialty of Mallory Petty, MS CF-SLP?
Mallory Petty, MS CF-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X).
Where does Mallory Petty, MS CF-SLP practice?
The practice location is 1600 Los Gamos Dr # A120, San Rafael, CA 94903-1806. The office can be reached at 415-444-7400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497444335 directly on the NPPES registry website.