DR. MALLORY LEIGH STOVALL (NPI# 1518594035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518594035 |
| Entity Type | Individual |
| Full Name | DR. MALLORY LEIGH STOVALL |
| Credential | AU.D. |
| Practice Address |
7847 Youree Dr Shreveport LA 71105-5505 |
| Practice Telephone | 3182123960 |
| Mailing Telephone | 9039181040 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 8537 | LA | Speech, Language and Hearing Service Providers |
| Street Address |
7847 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508016 | Brett A. Koder | Specialist | 7847 Youree Dr, Shreveport, LA 71105-5505 | 2005-09-15 |
| 1831739580 | Farzana Farishta | Physician Assistant | 7847 Youree Dr, Shreveport, LA 71105-5505 | 2020-01-10 |
| 1497046445 | Julia L Vaughan | Physician Assistant | 7847 Youree Dr, Shreveport, LA 71105-5505 | 2011-04-26 |
| 1609189554 | Andrea M. Dean | Audiologist | 7847 Youree Dr, Shreveport, LA 71105-5505 | 2010-07-21 |
| 1083940191 | Wk Portico Pediatrics | Pediatrics | 7847 Youree Dr, Shreveport, LA 71105-5505 | 2009-10-23 |
| 1730324724 | Suzanne M Burke | Physician Assistant | 7847 Youree Dr, Shreveport, LA 71105-5505 | 2008-12-05 |
| 1255362497 | Clifton Vaughan Md and Willis-knighton Medical Center | Pediatrics | 7847 Youree Dr, Shreveport, LA 71105-5505 | 2006-07-05 |
| 1508894106 | Bruce Pistorius Md and Willis-knighton Medical Center | Pediatrics | 7847 Youree Dr, Shreveport, LA 71105-5505 | 2006-06-30 |
| 1902834823 | Michael J. Beal | Otolaryngology | 7847 Youree Dr, Shreveport, LA 71105-5505 | 2006-06-29 |
| 1376570614 | William D Parker Md and Willis-knighton Medical Center | Pediatrics | 7847 Youree Dr, Shreveport, LA 71105-5505 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949368 | Kimberly Renfro | Audiologist | 1810 E 70th St Ste 400, Shreveport, LA 71105-5337 | 2020-07-15 |
| 1649436072 | Courtney Leigh Ross | Audiologist | 8575 Fern Ave Ste 103, Shreveport, LA 71105-5677 | 2008-08-05 |
| 1154461937 | Louisiana State University Health Sciences Center | Audiologist | 3735 Blair Dr, Shreveport, LA 71103-4601 | 2007-02-08 |
| 1205851144 | Leigh Anne Norman | Audiologist | 2530 Bert Koun Loop, Suite 131, Shreveport, LA 71118-3132 | 2006-07-13 |
| 1740805043 | Morgan Stansberry | Audiologist | 3735 Blair Dr, Shreveport, LA 71103-4601 | 2020-06-11 |
| 1447741343 | Camille Eleazar Berry | Audiologist | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2018-05-25 |
| 1306241641 | Laura Steinagel | Audiologist | 2121 Line Ave, Shreveport, LA 71104-2126 | 2014-10-29 |
| 1467855361 | Wk South Audiology Center | Audiologist | 2530 Bert Koun Loop, Suite 131, Shreveport, LA 71118-3132 | 2014-10-06 |
| 1609189554 | Andrea M. Dean | Audiologist | 7847 Youree Dr, Shreveport, LA 71105-5505 | 2010-07-21 |
| 1225341373 | Krystal Ware | Audiologist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2010-07-19 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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| 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.