Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881982551 Individual Practitioner Female Practitioner

Mallory Boteler Dougherty , MS, CCC-SLP

Speech-Language Pathologist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Mallory Dougherty, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Tyler, TX. Practice services are available at 921 SHILOH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

921 Shiloh Rd
#120

Tyler, TX 757031431

Telephone 9039392800
Associated Practice Facility / Clinic
🏢 Preddy Chiropractic Pc Facility NPI 1740307974

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.9 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
185 Specialists

Practicing in Tyler, TX (17210 Statewide)

Telehealth Adoption Rate
2.7% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 107640

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

40 Associated Practitioners
Melanie Pinkston , COTA

Occupational Therapy Assistant

NPI 1003353269

Certified Occupational Therapy Assistant

Kalee Owens

Speech-Language Pathologist

NPI 1003472382
Heather Wintters , PTA

Physical Therapy Assistant

NPI 1013573781

Physical Therapist Assistant

Kimberly Westbrook

Occupational Therapist - Pediatrics

NPI 1023212727
Mary Woodfin

Occupational Therapist

NPI 1023379096
Ashlynn Kennard , COTA

Occupational Therapy Assistant

NPI 1043526601

Certified Occupational Therapy Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2015

Registered at 921 SHILOH RD, #120, TYLER, TX 757031431 (Tel: 9039392800)

📍
Updated Business Mailing Address August 20, 2015

Registered at 305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 760537209 (Tel: 8172928787)

👤
Provider Name / Credentials Updated August 20, 2015

Recorded as MALLORY DOUGHERTY, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2015

Speech-Language Pathologist (License #107640 in TX)

🟢
Initial NPI Registration & Enumeration July 15, 2011

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: 1881982551
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2011
Last Update: August 20, 2015
Sole Proprietor: Yes

Mailing Address

305 Ne Loop 820, Business Tower 1, Suite 200

Hurst, TX 760537209

Phone: 8172928787

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.