BETHANY DEMASIE MALLOY CCC-SLP
NPI 1609352103
Speech-Language Pathologist in Greensboro, NC

Q: What is Bethany Malloy's NPI number?

The NPI number for Bethany Malloy is 1609352103. It was assigned to this individual provider in the NPPES registry on July 17, 2018. The provider is also known as Bethany Lynn Demasie.

Q: What is Bethany Malloy'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 Bethany Malloy was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 17, 2018

2500 N CHURCH ST, GREENSBORO, NC 27405(336) 375-2240 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2022, Jul 17, 2018 (2 updates tracked since 2018).

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About Bethany Demasie Malloy Ccc-slp NPPES

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

BETHANY DEMASIE MALLOY CCC-SLP (NPI 1609352103) is an individual speech-language pathologist provider in Greensboro, North Carolina, licensed in North Carolina (12817) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1609352103

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameBETHANY DEMASIE MALLOYCredential: CCC-SLP

Location Address2500 N CHURCH STGreensboro, NC 27405-4314

Mailing Address2500 N Church StGreensboro, NC 27405-4314 · (336) 375-2240

Phone(336) 375-2240

Sole ProprietorYes

Enumeration DateJuly 17, 2018

Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration

NPPES CertifiedMarch 10, 2022

✔ NPI 1609352103 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 NC · 12817

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.

2500 N CHURCH ST, Greensboro, NC 27405

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Other Names 1

Former Name (1)Bethany Lynn Demasie

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.

SHAUNA FLOYD

Speech-Language Pathologist