# AUDREY MALLOY SLP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunshine Pediatric Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568760999
- **Authorized official:** MRS. AUDREY MALLOY (PRESIDENT/SLP)
- **Authorized official phone:** (318) 855-3150

## Contact information

- **Practice address:** 1890 HUDSON CIR, SUITE 4, MONROE, LA 71201-3538
- **Practice address phone:** (318) 855-3150
- **Mailing address:** 1890 HUDSON CIR, SUITE 4, MONROE, LA 71201-3538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | Z12261 | LA | — |
| 235Z00000X | Speech-Language Pathologist | 3812 | LA | Yes |

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 03/09/2011