Individual
DANA ELIZABETH MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, RN, BSN
Contact information
Practice address
7120 BROOKVIEW LN, SHERRILLS FORD, NC 28673-9514
(845) 514-7793
Mailing address
7120 BROOKVIEW LN, SHERRILLS FORD, NC 28673-9514
(845) 514-7793
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
376253
NC
163W00000X
Registered Nurse
607662-1
NY
235Z00000X
Speech-Language Pathologist
013221-1
NY
235Z00000X
Speech-Language Pathologist
Primary
30003595
NC
Other
Enumeration date
11/10/2008
Last updated
06/15/2025
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