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MRS. MALLORY BOTELER DOUGHERTY M.S., CCC-SLP
NPI 1881982551
Speech-Language Pathologist in Tyler, TX

Active since July 15, 2011
921 SHILOH RD, #120, TYLER, TX 75703(903) 939-2800 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mallory Boteler Dougherty M.s., Ccc-slp NPPES

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

MRS. MALLORY BOTELER DOUGHERTY M.S., CCC-SLP (NPI 1881982551) is an individual speech-language pathologist provider in Tyler, Texas, licensed in Texas (107640) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1881982551
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. MALLORY BOTELER DOUGHERTYCredential: M.S., CCC-SLP
Location Address921 SHILOH RD, #120Tyler, TX 75703-1431
Mailing Address305 Ne Loop 820, Business Tower 1, Suite 200Hurst, TX 76053-7209 · (817) 292-8787 · Fax (817) 789-6849
Phone(903) 939-2800
Sole ProprietorYes
Enumeration DateJuly 15, 2011
Last NPPES UpdateAugust 20, 2015
✔ NPI 1881982551 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 TX · 107640
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.
921 SHILOH RD, Tyler, TX 75703
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Other Providers at the Same Location NPPES 16

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

MELANIE JOYCE PINKSTON COTA
Occupational Therapy Assistant
921 SHILOH RD, SUITE 120
TYLER, TX 75703
Smith County (903) 939-2800
DR. RICHARD HILL COKER DDS
Dentist
921 SHILOH RD, SUITE A100
TYLER, TX 75703
Smith County (903) 581-1777
JOSEPH K VAUGHAN, JR, MD, PA
Specialist
921 SHILOH RD, SUITE C200
TYLER, TX 75703
Smith County (903) 534-4700
ILEANA TORRES
Specialist/Technologist (Speech-Language Assistant)
921 SHILOH RD, SUITE C-120
TYLER, TX 75703
Smith County (903) 939-2800
APRIL KRUGER COTA
Occupational Therapy Assistant
921 SHILOH RD, SUITE C 120
TYLER, TX 75703
Smith County (903) 253-0095
DR. ARTHUR GEORGE PADDOCK III DDS
Dentist (General Practice)
921 SHILOH RD, SUITE C100
TYLER, TX 75703
Smith County (972) 310-0331
PAIGE PENNY
Specialist/Technologist (Speech-Language Assistant)
921 SHILOH RD, SUITE C-120
TYLER, TX 75703
Smith County (903) 939-2800
MAYELA ORTIZ PTA
Physical Therapy Assistant
921 SHILOH RD
TYLER, TX 75703
Smith County (903) 939-2800

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 Dougherty's NPI number?

The NPI number for Mallory Dougherty is 1881982551. It was assigned to this individual provider in the NPPES registry on July 15, 2011.

Where is Mallory Dougherty located?

Mallory Dougherty practices at 921 Shiloh Rd #120, Tyler, TX 75703. The listed phone number is (903) 939-2800.

What is Mallory Dougherty'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 Dougherty was last updated on August 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.