MEDICARE: MALLORY HALE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1477436830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALLORY HALE

Provider Business Mailing Address
First Line	:	12000 E 47TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239-3143
Country	:	US
Telephone Number	:	315-897-0344
Fax Number	:

Provider Business Practice Location Address
First Line	:	12000 E 47TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239-3143
Country	:	US
Telephone Number	:	303-574-1360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2025
Last Update Date	:	07/30/2025

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Directions to “ MALLORY HALE ” Practice Location

Language	Start Address	Practice Location

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