Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114402575 Individual Practitioner Female Practitioner

Mallory Jean Waisanen , CCC-SLP

Speech-Language Pathologist • Flint, MI

Professional Overview & Biography Verified Profile Summary

Mallory Waisanen, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Flint, MI. Practice services are available at 1 HURLEY PLZ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Hurley Plz

Flint, MI 485035902

Telephone 8104298923
Associated Practice Facility / Clinic
🏢 Hurley Medical Center Facility NPI 1598717480

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Flint, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
57 Specialists

Practicing in Flint, MI (3778 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: 2022-12-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MI 7101005773

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.

Secondary Practice Locations

2919 Wilder Rd

Bay City, MI 487069299

Phone: 9896715738

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Ryan Reece , MD

Emergency Medicine

NPI 1003200650

Doctor of Medicine (M.D.)

Lauren Nemetz , MA, CCC-SLP

Speech-Language Pathologist

NPI 1003286410

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

Kerry Dyer

Physical Therapist

NPI 1003399288
Angeli Mantos

Physical Therapist

NPI 1003528621
Dr. Adenike Fatiregun , MD

Student in an Organized Health Care Education/Training Program

NPI 1003541715

Doctor of Medicine (M.D.)

Aleesha Kilbreath , PA-C

Physician Assistant - Surgical

NPI 1003848623

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 08, 2022

Registered at 1 HURLEY PLZ, FLINT, MI 485035902 (Tel: 8104298923)

👤
Provider Name / Credentials Updated December 08, 2022

Recorded as MALLORY WAISANEN, CCC-SLP

NPI Profile Active October 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2018

Registered at 2919 WILDER RD, BAY CITY, MI 487069299 (Tel: 9896715738)

📍
Updated Business Mailing Address October 01, 2018

Registered at 9437 SHERIDAN RD, GAINES, MI 484368933 (Tel: 8104298923)

👤
Provider Name / Credentials Updated October 01, 2018

Recorded as MALLORY VANHOUTEN, CF-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2018

Speech-Language Pathologist (License #7101005773 in MI)

🟢
Initial NPI Registration & Enumeration October 01, 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: 1114402575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2018
Last Update: December 08, 2022
Sole Proprietor: No

Mailing Address

9437 Sheridan Rd

Gaines, MI 484368933

Phone: 8104298923

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.