Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104519867 Individual Practitioner Female Practitioner

Mallory Peterson

Speech-Language Pathologist • Titusville, FL

Professional Overview & Biography Verified Profile Summary

Mallory Peterson is a registered healthcare professional specializing in Speech-Language Pathologist in Titusville, FL. Practice services are available at 2625 BARNA AVE STE H under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2625 Barna Ave Ste H

Titusville, FL 327803417

Telephone 3213624099
Associated Practice Facility / Clinic
🏢 Speechwise Therapy Llc Facility NPI 1992338792

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Titusville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
46 Specialists

Practicing in Titusville, FL (11640 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: 2023-05-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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

4 Associated Practitioners
Brittany Haynie

Occupational Therapist

NPI 1043783681
Destiny Culbertson

Speech-Language Pathologist

NPI 1255022307
Elizabeth Jacobs

Speech-Language Pathologist

NPI 1427856079
Rochelle Moseley , MS

Speech-Language Pathologist

NPI 1790161883

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 May 30, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2023

Registered at 2625 BARNA AVE STE H, TITUSVILLE, FL 327803417 (Tel: 3213624099)

📍
Updated Business Mailing Address May 30, 2023

Registered at 1680 ROCHELLE PKWY, MERRITT ISLAND, FL 329525650 (Tel: 3216154624)

👤
Provider Name / Credentials Updated May 30, 2023

Recorded as MALLORY PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2023

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration May 30, 2023

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: 1104519867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2023
Last Update: May 30, 2023
Sole Proprietor: Yes

Mailing Address

1680 Rochelle Pkwy

Merritt Island, FL 329525650

Phone: 3216154624

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.