| Mallory Nicole Moore, SLP | |
|
101 Chapman Hill Rd Ste 101, Clemson, SC 29631-2194 | |
| (864) 653-4071 | |
| Not Available |
| Full Name | Mallory Nicole Moore |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 15 Years |
| Location | 101 Chapman Hill Rd Ste 101, Clemson, South Carolina |
| 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 |
|---|---|---|---|
| 1336580950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 9698 (North Carolina) | Secondary |
| 235Z00000X | Speech-language Pathologist | 7188 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health University Medical Group | 8325950983 | 2220 |
| Provider Name | Prisma Health University Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Nicole Moore, SLP 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6252 | Mallory Nicole Moore, SLP 101 Chapman Hill Rd Ste 101, Clemson, SC 29631-2194 Ph: (864) 653-4071 |
Mrs. Constance Clifford Mcgahey, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 321 Tamassee Dr, Clemson, SC 29631 Phone: 864-653-8424 | |
Lisa Clark Smith, M.A. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 108 Shadowood Rd, Clemson, SC 29631 Phone: 864-653-9757 | |
Haley Elizabeth Merck, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Downs Loop, Clemson, SC 29631 Phone: 864-654-1155 | |
Alexandria Hamilton Roper, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Chapman Hill Rd, Clemson, SC 29631 Phone: 864-653-4071 | |
Madison Fisher, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 379 Old Greenville Hwy Ste 101, Clemson, SC 29631 Phone: 864-624-0120 Fax: 864-624-0125 | |
Ledbetter Therapy Services, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 Thomas St, Clemson, SC 29631 Phone: 864-508-0354 |