MALLORY LYNN BUTLER (NPI# 1124519145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124519145 |
| Entity Type | Individual |
| Full Name | MALLORY LYNN BUTLER |
| Credential | SLP |
| Practice Address |
6867 Southpoint Dr N Jacksonville FL 32216-8043 |
| Practice Telephone | 9046196071 |
| Practice Fax Number | 9042120309 |
| Mailing Telephone | 9046196071 |
| Mailing Fax Number | 9042120309 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA14700 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730663170 | Mallory Butler | Counselor | 111 Edgartown Road, Oak Bluffs, MA 02557 | 2018-09-21 |
| 1467803049 | Mallory Ann Butler | Nurse Practitioner | 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 | 2016-06-24 |
| Street Address |
6867 SOUTHPOINT DR N |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-8043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043395288 | Susan Pitts Angel | Nurse Practitioner | 6867 Southpoint Dr N, Suite 101, Jacksonville, FL 32216-8043 | 2006-10-26 |
| 1326526302 | Gary Incremona | Behavior Technician | 6867 Southpoint Dr N, Jacksonville, FL 32216-8043 | 2018-08-01 |
| 1902395254 | Randy Ely | Counselor | 6867 Southpoint Dr N, Jacksonville, FL 32216-8043 | 2018-05-02 |
| 1952808420 | Christina Bornmann | Occupational Therapist | 6867 Southpoint Dr N, Jacksonville, FL 32216-8043 | 2018-04-10 |
| 1841793171 | Seven Bridges Therapies LLC | Psychologist | 6867 Southpoint Dr N, Jacksonville, FL 32216-8043 | 2018-03-13 |
| 1669974283 | Morgan Leigh Williamson | Behavior Technician | 6867 Southpoint Dr N, Jacksonville, FL 32216-8043 | 2018-02-28 |
| 1063912558 | Ashley Weaver | Developmental Therapist | 6867 Southpoint Dr N, Jacksonville, FL 32216-8043 | 2018-02-20 |
| 1124531355 | Toni Hopkins | Behavior Technician | 6867 Southpoint Dr N, Jacksonville, FL 32216-8043 | 2017-11-09 |
| 1497266985 | Sara Baraso | Behavior Technician | 6867 Southpoint Dr N, Jacksonville, FL 32216-8043 | 2017-10-24 |
| 1992214100 | Vidhya Scimeme | Behavior Technician | 6867 Southpoint Dr N, Jacksonville, FL 32216-8043 | 2017-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848514 | Danielle Huckaba | Speech-Language Pathologist | 12023 Wren Hollow Ct, Jacksonville, FL 32246-7787 | 2020-07-22 |
| 1699392209 | Paige E Searcy | Speech-Language Pathologist | 907 Greenridge Rd, Jacksonville, FL 32207-5251 | 2020-06-30 |
| 1568086619 | Carmen Schneider | Speech-Language Pathologist | 7701 Timberlin Park Blvd Apt 831, Jacksonville, FL 32256-5447 | 2020-06-04 |
| 1730702713 | Jennifer Horn Debardeleben | Speech-Language Pathologist | 2101 W Palm Ave, Jacksonville, FL 32254-1734 | 2020-05-25 |
| 1508485509 | Growing Voices Therapies, LLC | Speech-Language Pathologist | 12964 Julington Ridge Dr E, Jacksonville, FL 32258-3412 | 2020-04-10 |
| 1215561352 | Lori Connon | Speech-Language Pathologist | 2334 Covington Creek Cir W, Jacksonville, FL 32224-1177 | 2020-02-27 |
| 1922631779 | Homegrown Communication-slp, LLC | Speech-Language Pathologist | 5163 Shirley Ave, Jacksonville, FL 32210-3145 | 2020-02-20 |
| 1194357517 | Lauren Lynne Blunk | Speech-Language Pathologist | 1010 N Davis St, Jacksonville, FL 32209-6824 | 2020-02-05 |
| 1669018255 | Ying Dong | Speech-Language Pathologist | 7262 Deerfoot Point Cir Unit 3, Jacksonville, FL 32256-8623 | 2019-11-19 |
| 1710543764 | Lesley Nicole Summers | Speech-Language Pathologist | 6817 Southpoint Pkwy Ste 1701, Jacksonville, FL 32216-6298 | 2019-05-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on MALLORY LYNN BUTLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.