Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265154611 Individual Practitioner Female Practitioner

Mallory Vaughn Bukas

Speech-Language Pathologist • Mount Airy, NC

Professional Overview & Biography Verified Profile Summary

Mallory Bukas is a registered healthcare professional specializing in Speech-Language Pathologist in Mount Airy, NC. Practice services are available at 711 W INDEPENDENCE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

711 W Independence Blvd

Mount Airy, NC 270303576

Telephone 8559830488
Associated Practice Facility / Clinic
🏢 Kidology, Inc Facility NPI 1730591991

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mount Airy, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
16 Specialists

Practicing in Mount Airy, NC (7242 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NC 30001123

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Betsy Perez-Luna , MA

Speech-Language Pathologist

NPI 1003615444

Master of Arts

Malee Lambert , OTR, L

Occupational Therapist - Pediatrics

NPI 1043038631

Occupational Therapist Registered, L

Danielle Gross

Speech-Language Pathologist

NPI 1053257345
Jacqueline Dorry , MS CCC-SLP

Speech-Language Pathologist

NPI 1053679118

MSCCCSLP

Ashton White , OTR, L

Occupational Therapist

NPI 1073147146

Occupational Therapist Registered, L

Molly Carpenter , OTR

Occupational Therapist

NPI 1225637739

Occupational Therapist Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 19, 2025

Registered at 711 W INDEPENDENCE BLVD, MOUNT AIRY, NC 270303576 (Tel: 8559830488)

📍
Updated Business Mailing Address May 19, 2025

Registered at 6835 RIDGE RD, TOBACCOVILLE, NC 270509731 (Tel: 7044955342)

👤
Provider Name / Credentials Updated May 19, 2025

Recorded as MALLORY BUKAS

NPI Profile Active September 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2022

Registered at 3907 W MARKET ST, GREENSBORO, NC 274071303 (Tel: 3362799008)

📍
Updated Business Mailing Address September 13, 2022

Registered at 4255 EMILY LOOP APT 1B, HIGH POINT, NC 272650006 (Tel: 7044955342)

👤
Provider Name / Credentials Updated September 13, 2022

Recorded as MALLORY VAUGHN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2022

Speech-Language Pathologist (License #30001123 in NC)

🟢
Initial NPI Registration & Enumeration September 13, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265154611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2022
Last Update: May 19, 2025
Sole Proprietor: Yes

Mailing Address

6835 Ridge Rd

Tobaccoville, NC 270509731

Phone: 7044955342

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.