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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MALLORY BOTELER DOUGHERTY, M.S., CCC-SLP

Active Sole Proprietor

MRS. MALLORY BOTELER DOUGHERTY, M.S., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in TYLER, Texas. NPI 1881982551 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · TYLER, TX

Registration Details

NPI Number
1881982551
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2011 (15.097059665725 yrs)
Last Updated
Aug 20, 2015
License
107640 (TX)
Sole Proprietor
Yes

Practice Information

Address
921 SHILOH RD
#120
TYLER, TX, 757031431
Browse TX providers · Browse ZIP 75703
Phone
9039392800
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in TYLER, TX

Name Credential NPI
CAROL VARNADORE SLP 1427027747
KAREN MILLER SLP 1629037668
KRISTI HICKMAN SPEECH/LANG PATH. 1578522538
MRS. AMY L DAY M.S., CCC-SLP 1699785907
MRS. LARA HOOPER SLP 1144326869
MR. DAVID BORING SLP 1891892527
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.