Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083506117 Individual Practitioner Female Practitioner

Mallory R Nelson , SLP

Speech-Language Pathologist • Rohnert Park, CA

Professional Overview & Biography Verified Profile Summary

Mallory Nelson, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Rohnert Park, CA. Practice services are available at 320 PROFESSIONAL CENTER DR STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

320 Professional Center Dr Ste 200

Rohnert Park, CA 949282159

Telephone 7072174997
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Rohnert Park, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Rohnert Park, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 20179

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Cynthia Carrera , MS, CCC-SLP

Speech-Language Pathologist

NPI 1205129574

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Peggy Weber , MS

Speech-Language Pathologist

NPI 1497217921

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 29, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2025

Registered at 320 PROFESSIONAL CENTER DR STE 200, ROHNERT PARK, CA 949282159 (Tel: 7072174997)

📍
Updated Business Mailing Address July 29, 2025

Registered at 320 PROFESSIONAL CENTER DR STE 200, ROHNERT PARK, CA 949282159 (Tel: 7072174997)

👤
Provider Name / Credentials Updated July 29, 2025

Recorded as MALLORY NELSON, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2025

Speech-Language Pathologist (License #20179 in CA)

🟢
Initial NPI Registration & Enumeration July 15, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083506117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2025
Last Update: July 29, 2025
Sole Proprietor: No

Mailing Address

320 Professional Center Dr Ste 200

Rohnert Park, CA 949282159

Phone: 7072174997

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.