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MALLORY PETERSON
NPI 1104519867
Speech-Language Pathologist in Titusville, FL

Active since May 30, 2023
2625 BARNA AVE STE H, TITUSVILLE, FL 32780(321) 362-4099 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY PETERSON (NPI 1104519867) is an individual speech-language pathologist provider in Titusville, Florida and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1104519867
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMALLORY PETERSON
Location Address2625 BARNA AVE STE HTitusville, FL 32780-3417
Mailing Address1680 Rochelle PkwyMerritt Island, FL 32952-5650 · (321) 615-4624
Phone(321) 362-4099
Sole ProprietorYes
Enumeration DateMay 30, 2023
NPPES CertifiedMay 30, 2023
✔ NPI 1104519867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
2625 BARNA AVE STE H, Titusville, FL 32780
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY E HAYNIE
Occupational Therapist
2625 BARNA AVE STE H
TITUSVILLE, FL 32780
Brevard County (321) 362-4099
DESTINY MICHELLE CULBERTSON
Speech-Language Pathologist
2625 BARNA AVE STE H
TITUSVILLE, FL 32780
Brevard County (321) 362-4099
ELIZABETH JACOBS
Speech-Language Pathologist
2625 BARNA AVE STE H
TITUSVILLE, FL 32780
Brevard County (321) 362-4099
ROCHELLE MOSELEY M.S.
Speech-Language Pathologist
2625 BARNA AVE STE H
TITUSVILLE, FL 32780
Brevard County (321) 362-4099
SPEECHWISE THERAPY LLC
Speech-Language Pathologist
2625 BARNA AVE STE H
TITUSVILLE, FL 32780
Brevard County (321) 362-4099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Peterson's NPI number?

The NPI number for Mallory Peterson is 1104519867. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Mallory Peterson located?

Mallory Peterson practices at 2625 Barna Ave Ste H, Titusville, FL 32780. The listed phone number is (321) 362-4099.

What is Mallory Peterson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Mallory Peterson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Molina Healthcare list Mallory Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Peterson was last updated on May 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.