MALLORY NICOLE NATHAN M.S. CCC-SLP NPI 1144056235

NPI Information

  • NPI: 1144056235
  • Provider Name: MALLORY NICOLE NATHAN, M.S., CCC-SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 495 WINN WAY STE 210
    DECATUR, GA
    ZIP 30030
  • Phone: (770) 209-9826

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NPI Details

Mallory Nicole Nathan, M.S., CCC-SLP is a speech language pathologist in Decatur, GA. The provider is 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. Mallory Nicole Nathan, M.S., CCC-SLP NPI is 1144056235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

495 WINN WAY STE 210
DECATUR, GA
ZIP 30030-710
Phone: (770) 209-9826

The enumeration date for this NPI number is 9/13/2024 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistSLP013645GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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