MRS. Mallory Boteler Dougherty, M.S., CCC-SLP

NPI #1881982551 in Tyler, Texas

Provider Information

NPI Number
1881982551
Entity Type
Individual
Name
MRS. Mallory Boteler Dougherty, M.S., CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S., CCC-SLP
Enumeration Date
Jul 15, 2011
Last Updated
Aug 20, 2015

Practice Location

Address
921 SHILOH RD
Address 2
#120
City
Tyler
State
Texas
ZIP Code
75703-1431
Phone
(903) 939-2800

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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