Mrs Mallary Mclemore Mardis, CFY-SLP - Speech-Language Pathologist in Jackson, MS

Mrs Mallary Mclemore Mardis, CFY-SLP is a Speech-language Pathologist based in Jackson, Mississippi. Mrs Mallary Mclemore Mardis is licensed to practice in Mississippi (license number S3445) and her current practice location is 2500 N State St, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 984-4550.

NPI number for Mrs Mallary Mclemore Mardis is 1659680262 and her current mailing address is 114 Prescott Rdg, Madison, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659680262.

Contact Information

Mrs Mallary Mclemore Mardis, CFY-SLP
2500 N State St,
Jackson, MS 39216-4500
(601) 984-4550
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Mallary Mclemore Mardis
GenderFemale
SpecialitySpeech-language Pathologist
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659680262
  • Provider Enumeration Date: 09/29/2010
  • Last Update Date: 08/17/2012

Medical Identifiers

Medical identifiers for Mrs Mallary Mclemore Mardis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659680262NPI-NPPES
302I151436OtherMSMEDICARE PTAN UMC
302I151435OtherMSMEDICARE PTAN UP
05401310MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist S3445 (Mississippi)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. Mrs Mallary Mclemore Mardis 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
Mrs Mallary Mclemore Mardis, CFY-SLP
114 Prescott Rdg,
Madison, MS 39110-4725

Ph: (601) 540-4476
Mrs Mallary Mclemore Mardis, CFY-SLP
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-4550

Reviews and Comments


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