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MALLORY MARIE BONIFAS MA, CF SLP
NPI 1477888303
Speech-Language Pathologist in Lakeland, FL

Active since October 09, 2009
1215 E ORANGE ST, LAKELAND, FL 33801(863) 802-3800(863) 802-0480 Get Directions Write a Review

NPPES record last updated: October 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Marie Bonifas Ma, Cf Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY MARIE BONIFAS MA, CF SLP (NPI 1477888303) is an individual speech-language pathologist provider in Lakeland, Florida, licensed in Florida (SZ4193) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1477888303
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMALLORY MARIE BONIFASCredential: MA, CF SLP
Location Address1215 E ORANGE STLakeland, FL 33801-5762
Mailing Address2130 Morgan Wieland Lane, Apt 304Lakeland, FL 33813 · (419) 302-2878
Phone(863) 802-3800
Fax(863) 802-0480
Sole ProprietorNo
Enumeration DateOctober 9, 2009
✔ NPI 1477888303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SZ4193
Definition
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.
1215 E ORANGE ST, Lakeland, FL 33801
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Other Identifiers 1

Other592984541FL · Group Tin

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACEY COLEMAN HESS PTA
Physical Therapy Assistant
1215 E ORANGE ST
LAKELAND, FL 33801
Polk County (863) 802-3800
MS. GRAYSEN MAE DELEGGE M.ED., CF-SLP
Speech-Language Pathologist
1215 E ORANGE ST
LAKELAND, FL 33801
Polk County (863) 802-3800
SHELBY WITHERSPOON
Speech-Language Pathologist
1215 E ORANGE ST
LAKELAND, FL 33801
Polk County (863) 802-3800
MRS. AMY GERALDINE OLSON OTR/L
Occupational Therapist
1215 E ORANGE ST
LAKELAND, FL 33801
Polk County (863) 802-3800
STEPHANIE LEE MSOT OTR
Occupational Therapist
1215 E ORANGE ST
LAKELAND, FL 33801
Polk County (863) 802-3800
LANE JORDAN DPT
Physical Therapist
1215 E ORANGE ST
LAKELAND, FL 33801
Polk County (863) 802-3800
KAREN LEE VOLKMANN MSPT
Physical Therapist
1215 E ORANGE ST
LAKELAND, FL 33801
Polk County (863) 802-3800
ELIZABETH RACETTE HALEY OTR/L
Occupational Therapist
1215 E ORANGE ST
LAKELAND, FL 33801
Polk County (863) 802-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Bonifas's NPI number?

The NPI number for Mallory Bonifas is 1477888303. It was assigned to this individual provider in the NPPES registry on October 9, 2009.

Where is Mallory Bonifas located?

Mallory Bonifas practices at 1215 E Orange St, Lakeland, FL 33801. The listed phone number is (863) 802-3800.

What is Mallory Bonifas's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mallory Bonifas was last updated on October 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.