| Mallory Mahala Record, MS, CCC-SLP | |
|
65 Ridgecrest Rd, Jackson, TN 38305 | |
| (731) 668-6076 | |
| Not Available |
| Full Name | Mallory Mahala Record |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 65 Ridgecrest Rd, Jackson, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386161230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 5894 (Tennessee) | Primary |
| Provider Name | West Tennessee Hearing & Speech Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194904342 PECOS PAC ID: 8729126610 Enrollment ID: O20091113000282 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Mahala Record, MS, CCC-SLP 65 Ridgecrest Rd, Jackson, TN 38305-2359 Ph: (731) 668-6076 | Mallory Mahala Record, MS, CCC-SLP 65 Ridgecrest Rd, Jackson, TN 38305 Ph: (731) 668-6076 |
Mrs. Haley Trull, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 65 Ridgecrest Rd, Jackson, TN 38305 Phone: 731-668-6076 | |
Shayna Kay Wood, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 65 Ridgecrest Rd, Jackson, TN 38305 Phone: 731-668-6076 | |
Sherri B Coker, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5 Walnut Grove Cv, Jackson, TN 38305 Phone: 629-221-0364 Fax: 615-691-7133 | |
Tawanna Chism, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 48 Rampart Dr, Jackson, TN 38305 Phone: 901-281-8170 | |
Mary E Lowe, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 45 Forest Cove, Jackson, TN 38301 Phone: 731-424-4200 | |
Mrs. Billie Suanne Griffin, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1119 Old Humboldt Rd, Jackson, TN 38305 Phone: 731-554-5169 Fax: 731-668-1666 | |
Chantel C Harrison, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 34 Garland Dr, Jackson, TN 38305 Phone: 731-664-3670 Fax: 731-664-2940 |