Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124519145 Individual Practitioner Female Practitioner

Mallory Lynn Tillis , SLP

Speech-Language Pathologist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Mallory Tillis, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jacksonville, FL. Practice services are available at 6820 SOUTHPOINT PKWY STE 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6820 Southpoint Pkwy Ste 9

Jacksonville, FL 322166277

Telephone 0398888754
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
565 Specialists

Practicing in Jacksonville, FL (11640 Statewide)

Telehealth Adoption Rate
1.6% 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: 2024-07-28
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CO SLP.0005885

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License FL SA14700

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

5 Associated Practitioners
Amy Scruby , RBT

Behavior Technician

NPI 1063194371

Registered Behavior Technician

Mckenzie Wolff

Behavior Technician

NPI 1184411605
Luis Nodarse Valdes

Behavior Technician

NPI 1285459313
Naia Smith

Behavior Technician

NPI 1366329138
Amanda Jeffreys

Behavior Technician

NPI 1609698257

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address July 28, 2024

Registered at 15701 E 1ST AVE STE 106, AURORA, CO 800119037

👤
Provider Name / Credentials Updated July 28, 2024

Recorded as MALLORY TILLIS, SLP

📍
Updated Practice Location December 08, 2021

Registered at 6820 SOUTHPOINT PKWY STE 9, JACKSONVILLE, FL 322166277 (Tel: 0398888754)

NPI Profile Active May 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2018

Registered at 6867 SOUTHPOINT DR N, JACKSONVILLE, FL 322168043 (Tel: 9046196071)

📍
Updated Business Mailing Address May 24, 2018

Registered at 6867 SOUTHPOINT DR N, JACKSONVILLE, FL 322168043 (Tel: 9046196071)

👤
Provider Name / Credentials Updated May 24, 2018

Recorded as MALLORY BUTLER, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2018

Speech-Language Pathologist (License #SA14700 in FL)

🟢
Initial NPI Registration & Enumeration May 24, 2018

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: 1124519145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2018
Last Update: July 28, 2024
Sole Proprietor: No

Mailing Address

15701 E 1st Ave Ste 106

Aurora, CO 800119037

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.