| Mallory Brock, | |
|
1 Medical Center Blvd, Cookeville, TN 38501-4294 | |
| (931) 528-2541 | |
| Not Available |
| Full Name | Mallory Brock |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 3 Years |
| Location | 1 Medical Center Blvd, Cookeville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104769579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6007 (Alabama) | Secondary |
| 235Z00000X | Speech-language Pathologist | 0884 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Encore Rehabilitation, Inc | 3577462126 | 185 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Brock, 75 E Veterans Dr Apt A302, Cookeville, TN 38501-4698 Ph: (251) 709-9984 | Mallory Brock, 1 Medical Center Blvd, Cookeville, TN 38501-4294 Ph: (931) 528-2541 |
Olivia Hammons, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Spring St, Cookeville, TN 38506 Phone: 423-622-1551 Fax: 877-856-7133 | |
Kimberly Lane, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 419 E Broad St, Cookeville, TN 38501 Phone: 931-854-5056 | |
Kyrsten Ann Bandholz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1610 Bobby Nichols Dr, Cookeville, TN 38506 Phone: 610-927-7766 | |
Mrs. Selena Callaghan, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1694 W Broad St, Cookeville, TN 38501 Phone: 931-263-8908 | |
Valerie Faye Birdwell, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Spring St, Cookeville, TN 38506 Phone: 423-622-1551 Fax: 877-856-7133 | |
Ms. Wendy Ruth Polsky, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 West 8th Street, Cookeville Regional Medical Center, Cookeville, TN 38501 Phone: 931-783-2900 |