MALLORY PETTY M.S. CF-SLP
NPI 1497444335
Speech-Language Pathologist in San Rafael, CA

Active since May 05, 2023
1600 LOS GAMOS DR # A120, SAN RAFAEL, CA 94903(415) 444-7400 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Petty M.s. Cf-slp NPPES

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

MALLORY PETTY M.S. CF-SLP (NPI 1497444335) is an individual speech-language pathologist provider in San Rafael, California and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1497444335
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMALLORY PETTYCredential: M.S. CF-SLP
Location Address1600 LOS GAMOS DR # A120San Rafael, CA 94903-1806
Mailing Address8 Aberdeen Rd Apt 3Somerville, MA 02144-3216
Sole ProprietorYes
Enumeration DateMay 5, 2023
NPPES CertifiedMay 5, 2023
NPI 1497444335 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.

1600 LOS GAMOS DR # A120, San Rafael, CA 94903

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 Petty's NPI number?

The NPI number for Mallory Petty is 1497444335. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Mallory Petty located?

Mallory Petty practices at 1600 Los Gamos Dr # A120, San Rafael, CA 94903. The listed phone number is (415) 444-7400.

What is Mallory Petty'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 Mallory Petty was last updated on May 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.