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MALLORY JEAN WAISANEN CCC-SLP
NPI 1114402575
Speech-Language Pathologist in Flint, MI

Active since October 01, 2018

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2022, Oct 1, 2018 (2 updates tracked since 2018).

About Mallory Jean Waisanen Ccc-slp NPPES

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

MALLORY JEAN WAISANEN CCC-SLP (NPI 1114402575) is an individual speech-language pathologist provider in Flint, Michigan, licensed in Michigan (7101005773) and active in the NPI registry since October 2018. She maintains a secondary practice location in Bay City.

NPPES Registry Identity

NPI1114402575
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMALLORY JEAN WAISANENCredential: CCC-SLP
Location Address1 HURLEY PLZFlint, MI 48503-5902
Mailing Address9437 Sheridan RdGaines, MI 48436-8933 · (810) 429-8923
Phone(810) 429-8923
Sole ProprietorNo
Enumeration DateOctober 1, 2018
Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1114402575 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
License✔ Licensed in MI · 7101005773
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.
1 HURLEY PLZ, Flint, MI 48503
Open in Google Maps ↗

Secondary Practice Location 1

Location 12919 Wilder RdBay City, MI 48706-9299 · Phone (989) 671-5738

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. RYAN J. REECE M.D.
Emergency Medicine
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-9854
LAUREN NEMETZ M.A., CCC-SLP
Speech-Language Pathologist
1 HURLEY PLZ, 6E REHABILITATION- SPEECH THERAPY
FLINT, MI 48503
Genesee County (810) 262-7279
KERRY KATHLEEN DYER
Physical Therapist
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-6878
ANGELI V MANTOS
Physical Therapist
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-2441
DR. ADENIKE FATIREGUN MD
Student in an Organized Health Care Education/Training Program
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-9000
ALEESHA KILBREATH PA-C
Physician Assistant (Surgical)
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 762-7038
GABRIEL MULLINS CRNA
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (517) 740-8810
FRANCIS C WELLS PA-C
Physician Assistant
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-9000

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 Waisanen's NPI number?

The NPI number for Mallory Waisanen is 1114402575. It was assigned to this individual provider in the NPPES registry on October 1, 2018.

Where is Mallory Waisanen located?

Mallory Waisanen practices at 1 Hurley Plz, Flint, MI 48503. The listed phone number is (810) 429-8923.

What is Mallory Waisanen's specialty?

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

What insurance does Mallory Waisanen accept?

Health plans from Priority Health list Mallory Waisanen 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 Waisanen was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.