Individual
MALLORY KAITLYN JUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Mailing address
6620 CENTURY AVE APT 132, MIDDLETON, WI 53562-2274
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6962-154
WI
235Z00000X
Speech-Language Pathologist
Primary
7336-154
WI
Other
Enumeration date
07/01/2025
Last updated
05/04/2026
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