Mallory Wine, CF, SLP - Speech-Language Pathologist in Little Rock, AR

Mallory Wine, CF, SLP is a Speech-language Pathologist based in Little Rock, Arkansas. Mallory Wine is licensed to practice in Arkansas (license number 202687) and her current practice location is 824 N Tyler St, Little Rock, Arkansas. She can be reached at her office (for appointments etc.) via phone at (501) 664-2961.

NPI number for Mallory Wine is 1013758614 and her current mailing address is 13819 Ironton Cut Off Rd, Little Rock, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013758614.

Contact Information

Mallory Wine, CF, SLP
824 N Tyler St,
Little Rock, AR 72205-3535
(501) 664-2961
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMallory Wine
GenderFemale
SpecialitySpeech-language Pathologist
Location824 N Tyler St, Little Rock, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013758614
  • Provider Enumeration Date: 06/05/2024
  • Last Update Date: 06/05/2024

Medical Identifiers

Medical identifiers for Mallory Wine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013758614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 202687 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Wine is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mallory Wine, CF, SLP
13819 Ironton Cut Off Rd,
Little Rock, AR 72206-5279

Ph: (501) 765-2881
Mallory Wine, CF, SLP
824 N Tyler St,
Little Rock, AR 72205-3535

Ph: (501) 664-2961

Reviews and Comments


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