Dougherty, Mallory Boteler
Dougherty, Mallory Boteler is an sole proprietor health care provider with primary practice located at 921 Shiloh Rd #120, Tyler TX 75703-1431. 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. Dougherty, Mallory Boteler can be contacted via phone (903) 939-2800.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 107640 | Texas |
Profile Details
| NPI number | 1881982551 |
|---|---|
| LBN Legal business name | Dougherty, Mallory Boteler |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2011 |
| Last updated | Aug 20th, 2015 - 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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