| Mallory Pace, | |
|
7020 Nw 160th St., Edmond, OK 73013 | |
| (518) 477-0263 | |
| Not Available |
| Full Name | Mallory Pace |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 7020 Nw 160th St., Edmond, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548627771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4469 (Oklahoma) | Primary |
| Provider Name | Village Physical Therapy, P.c. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1710026992 PECOS PAC ID: 5496936379 Enrollment ID: O20110224001001 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Pace, 1451 24th St Apt 504, Denver, CO 80205-2193 Ph: (518) 477-0263 | Mallory Pace, 7020 Nw 160th St., Edmond, OK 73013 Ph: (518) 477-0263 |
Sensational Kids Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristol Park Blvd, Edmond, OK 73013 Phone: 405-840-1686 | |
Chat Speech And Language Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1709 Harvest Ln, Edmond, OK 73003 Phone: 918-520-9373 | |
Cheryl Grace, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2613 Summerfield Dr, Edmond, OK 73012 Phone: 405-420-7882 | |
Mrs. Jessica Alexis Elliott, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2337 Nw 159th Ter, Edmond, OK 73013 Phone: 405-596-7847 | |
Jennifer Moore, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 S Boulevard, Edmond, OK 73034 Phone: 405-285-6765 | |
Allison Marie Meier, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2100 Ne 140th St, Edmond, OK 73013 Phone: 405-608-8020 | |
Teresa Harkey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristol Park Blvd, Edmond, OK 73013 Phone: 405-610-1909 |