Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174024095 Individual Practitioner Female Practitioner

Mallory Ellen Imberg , SLP

Speech-Language Pathologist • Aurora, MN

Professional Overview & Biography Verified Profile Summary

Mallory Imberg, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Aurora, MN. Practice services are available at 5211 HIGHWAY 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5211 Highway 110

Aurora, MN 557051522

Telephone 2182293311
Associated Practice Facility / Clinic
🏢 Northern Pines Medical Center Facility NPI 1063511020

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Aurora, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Aurora, MN (3097 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 9978

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

10 Associated Practitioners
David Rokser , APRN, CNP

Nurse Practitioner - Family

NPI 1003491986

Advanced Practice Registered Nurse, Certified Nurse Practitioner

NPI 1043285455

Doctor of Osteopathic Medicine (D.O.)

Ann Vreeland , RN, CNP

Nurse Practitioner - Family

NPI 1063704930

Registered Nurse, Certified Nurse Practitioner

Dr. Ericka Lamar , PsyD, LP

Psychologist - Clinical

NPI 1265533400

Doctor of Psychology (Psy.D.), Licensed Psychologist

Claude Erickson , PA-C

Physician Assistant

NPI 1346252053

Physician Assistant (Certified)

NPI 1366549495

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2018

Registered at 5211 HIGHWAY 110, AURORA, MN 557051522 (Tel: 2182293311)

📍
Updated Business Mailing Address February 26, 2018

Registered at 1702 UNIVERSITY DR S, FARGO, ND 581034940 (Tel: 7013644222)

👤
Provider Name / Credentials Updated February 26, 2018

Recorded as MALLORY IMBERG, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2018

Speech-Language Pathologist (License #9978 in MN)

🟢
Initial NPI Registration & Enumeration February 26, 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: 1174024095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2018
Last Update: February 26, 2018
Sole Proprietor: No

Mailing Address

1702 University Dr S

Fargo, ND 581034940

Phone: 7013644222

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.