IndividualActive
Mallory Waisanen, CCC-SLP
NPI 1114402575 · Speech-Language Pathologist · Flint, MI
Provider details
- NPI number
- 1114402575
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 7101005773 (MI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Hurley Plz
Flint, MI 48503-5902
Phone: (810) 429-8923
Street-level locationGet directions
Mailing address
9437 Sheridan Rd
Gaines, MI 48436-8933
Additional practice locations (1)
- 2919 Wilder RdBay City, MI 48706-9299Phone: (989) 671-5738
Registry dates
- Enumerated
- 2018-10-01
- Last updated
- 2022-12-08
- Certified
- 2022-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.