Individual
MALLORY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 528-2541
Mailing address
75 E VETERANS DR APT A302, COOKEVILLE, TN 38501-4698
(251) 709-9984
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0884
TN
235Z00000X
Speech-Language Pathologist
6007
AL
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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