| Mrs Alicia Rena Mallady, MA CCC-SLP | |
|
7733 Forsyth Blvd, Saint Louis, MO 63105-1817 | |
| (800) 677-1202 | |
| Not Available |
| Full Name | Mrs Alicia Rena Mallady |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 7733 Forsyth Blvd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326295379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 116651 (Missouri) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174344063 PECOS PAC ID: 2365359932 Enrollment ID: O20250128004257 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Alicia Rena Mallady, MA CCC-SLP 458 Melody Ln, Cuba, MO 65453-8197 Ph: (573) 885-6269 | Mrs Alicia Rena Mallady, MA CCC-SLP 7733 Forsyth Blvd, Saint Louis, MO 63105-1817 Ph: (800) 677-1202 |
Rebecca Annice Hoyt, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 330 N Gore Ave, Saint Louis, MO 63119 Phone: 314-919-4700 | |
Maureen Mersman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8150 | |
Margaret Walkenhorst, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8150 | |
Ms. Maureen Elaine Neukirch, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1170 Timber Run Dr, Saint Louis, MO 63146 Phone: 314-469-0606 Fax: 314-469-3294 | |
Rachel Kathleen Cardaci, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 N 11th St, Saint Louis, MO 63101 Phone: 314-633-5300 | |
Kristen Anne Ottenlips, MA CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8100 | |
Mariglenn Golden Boggs, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8100 |