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Active NPI 1134850738 Individual Practitioner Female Practitioner

Mallory Ann Khantharasy , MS, CCC-SLP

Speech-Language Pathologist • San Angelo, TX

Professional Overview & Biography Verified Profile Summary

Mallory Khantharasy, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in San Angelo, TX. Practice services are available at 1929 CASE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1929 Case Ave

San Angelo, TX 769048230

Telephone 3252342242

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in San Angelo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
61 Specialists

Practicing in San Angelo, TX (17210 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: 2022-06-23
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 116186

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 23, 2022

NPI status registered as active in NPPES database

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Updated Practice Location June 23, 2022

Registered at 1929 CASE AVE, SAN ANGELO, TX 769048230 (Tel: 3252342242)

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Updated Business Mailing Address June 23, 2022

Registered at 1929 CASE AVE, SAN ANGELO, TX 769048230 (Tel: 3252342242)

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Provider Name / Credentials Updated June 23, 2022

Recorded as MALLORY KHANTHARASY, M.S., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2022

Speech-Language Pathologist (License #116186 in TX)

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Initial NPI Registration & Enumeration June 23, 2022

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: 1134850738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2022
Last Update: June 23, 2022
Sole Proprietor: No

Mailing Address

1929 Case Ave

San Angelo, TX 769048230

Phone: 3252342242

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.