Mallory Lynn Dewind, MA, CCC-SLP
Speech-Language Pathologist, in Richmond, VA. Individual provider (NPI-1).
NPI number1982191383
StatusActive
Last updated in NPPESApr 20, 2018
Details
- NPI
- 1982191383
- Entity type
- Individual (NPI-1)
- Name
- Mallory Lynn Dewind
- Credential
- MA, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2018
- Last updated
- Apr 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
301 N 9th StRichmond, VA 23219-1933
Phone 804-780-8193
Mailing address
2730 W Grace St Apt 8Richmond, VA 23220-1976
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