Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Brock

Individual provider Speech-Language Pathologist · NPI 1104769579

Mallory Brock is a Qualified Speech Language Pathologist in Cookeville, Tennessee. Graduated from University of South Alabama College of Medicine in 2023, 3 years ago. Practices with Encore Rehabilitation, Inc, a 182-clinician group and accepts Medicare assignment. Licensed in Alabama and Tennessee.

Years since qualifying
3
Trained at
University of South Alabama College of Medicine
Licensed in
AL, TN
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone: (931) 528-2541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 0884 (TN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 6007 (AL)

Record details

NPI number1104769579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Encore Rehabilitation, Inc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cookeville