Bradley, Mallory Boehler
Bradley, Mallory Boehler is an sole proprietor health care provider with primary practice located at 719 Rosedale Rd , Woodstock GA 30189-6106. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bradley, Mallory Boehler can be contacted via phone (731) 439-0642.Contact Information
Primary practice address
719 Rosedale Rd
Woodstock GA 30189-6106
Phone: (731) 439-0642
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP009174 | Georgia |
Profile Details
| NPI number | 1497200521 |
|---|---|
| LBN Legal business name | Bradley, Mallory Boehler |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2016 |
| Last updated | Aug 18th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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