| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MALLORY LEET | 1861114993 | 2022-09-15 |
Mallory Leet is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1861114993. Registration indicates Mallory Leet is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Mallory Leet |
| Practice Office Address | 505 SHOPPERS DR WINCHESTER, KY US |
| Practice Office Telephone | 8593854195 |
| Mailing Address | 505 SHOPPERS DR WINCHESTER, KY 403912808 US |
| Code | Practice | License No State |
|---|---|---|
| 235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | 288131
KY |