MRS. MALLORY BOEHLER BRADLEY M.S., CCC-SLP
NPI 1497200521
Speech-Language Pathologist in Woodstock, GA

Q: What is Mallory Bradley's NPI number?

The NPI number for Mallory Bradley is 1497200521. It was assigned to this individual provider in the NPPES registry on August 18, 2016.

Q: What is Mallory Bradley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mallory Bradley was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 18, 2016

719 ROSEDALE RD, WOODSTOCK, GA 30189(731) 439-0642 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Mallory Boehler Bradley M.s., Ccc-slp NPPES

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

MRS. MALLORY BOEHLER BRADLEY M.S., CCC-SLP (NPI 1497200521) is an individual speech-language pathologist provider in Woodstock, Georgia, licensed in Georgia (SLP009174) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1497200521

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. MALLORY BOEHLER BRADLEYCredential: M.S., CCC-SLP

Location Address719 ROSEDALE RDWoodstock, GA 30189-6106

Mailing Address719 Rosedale RdWoodstock, GA 30189-6106 · (731) 439-0642

Phone(731) 439-0642

Sole ProprietorYes

Enumeration DateAugust 18, 2016

✔ NPI 1497200521 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 GA · SLP009174

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.

719 ROSEDALE RD, Woodstock, GA 30189

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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 Bradley's NPI number?

The NPI number for Mallory Bradley is 1497200521. It was assigned to this individual provider in the NPPES registry on August 18, 2016.

Where is Mallory Bradley located?

Mallory Bradley practices at 719 Rosedale Rd, Woodstock, GA 30189. The listed phone number is (731) 439-0642.

What is Mallory Bradley'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 Bradley was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.