Individual
MALLORY COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10631 S 51ST ST, SUITE 8, PHOENIX, AZ 85044-5225
(480) 398-4280
(480) 398-4281
Mailing address
PO BOX 50218, PHOENIX, AZ 85076-0218
(480) 398-4280
(480) 398-4281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP9658
AZ
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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