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ODASIA MALLORY M.S.
NPI 1205078086
Speech-Language Pathologist in Lawrenceville, GA

Active since March 25, 2009
113 S. PERRY STREET, 260, LAWRENCEVILLE, GA 30046(845) 549-5055 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Odasia Mallory M.s. NPPES

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

ODASIA MALLORY M.S. (NPI 1205078086) is an individual speech-language pathologist provider in Lawrenceville, Georgia, licensed in Georgia (SLP007676) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1205078086
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameODASIA MALLORYCredential: M.S.
Location Address113 S. PERRY STREET, 260Lawrenceville, GA 30046
Mailing Address113 S Perry St Ste 260Lawrenceville, GA 30046-4811 · (845) 549-5055
Phone(845) 549-5055
Sole ProprietorYes
Enumeration DateMarch 25, 2009
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1205078086 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 GA · SLP007676
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.
113 S. PERRY STREET, Lawrenceville, GA 30046
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Other Providers at the Same Location NPPES 2

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

COURTNEY STALLWORTH BSN RN IBCLC
Registered Nurse (Lactation Consultant)
113 S. PERRY STREET, SUITE 206 #9313
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 712-8583
ENOMA ASEMOTA
Nurse Practitioner (Family)
113 S. PERRY STREET, STE 206, #13919
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 507-2631

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 Odasia Mallory's NPI number?

The NPI number for Odasia Mallory is 1205078086. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Where is Odasia Mallory located?

Odasia Mallory practices at 113 S. Perry Street 260, Lawrenceville, GA 30046. The listed phone number is (845) 549-5055.

What is Odasia Mallory's specialty?

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

When was this NPI record last updated?

The NPPES record for Odasia Mallory was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.