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NPI Code Detail

MEDICARE: MRS. MALLORY ELAINE ROBY M.S. CCC-SLP

MEDICARE: MRS. MALLORY ELAINE ROBY M.S. CCC-SLP
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
1235Z00000XSpeech-Language Pathologist09852MD

General Provider Information

NPI Number : 1518575927
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MALLORY ELAINE ROBY M.S. CCC-SLP
Provider Business Mailing Address
First Line : 9054 CONSTANT CRSE
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-1617
Country : US
Telephone Number : 443-944-4855
Fax Number :
Provider Business Practice Location Address
First Line : 8169 OLD MONTGOMERY RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-7940
Country : US
Telephone Number : 410-696-7449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2020
Last Update Date : 05/07/2026

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