Mallory Proffer Valid NPI
Individual provider · Speech-Language Pathologist · O Fallon, MO
- NPI
- 1255059317
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2022-08-16
- Last updated
- 2022-08-16
Practice location
1251 Turtle Creek Dr
O Fallon, MO 63366-5948
(636) 379-0300