Individual
SAMANTHA ROSE MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
361 NEWBURY ST FL 5, BOSTON, MA 02115-2727
(617) 463-9119
Mailing address
361 NEWBURY ST FL 5, BOSTON, MA 02115-2727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP101066
MA
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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