Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Vaughn Bukas

Individual provider Speech-Language Pathologist · NPI 1265154611

Mallory Vaughn Bukas is a Speech-Language Pathologist in Mount Airy, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

711 W Independence Blvd
Mount Airy, NC 27030-3576
Phone: (855) 983-0488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 30001123 (NC)

Record details

NPI number1265154611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 13, 2022
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address6835 Ridge Rd, Tobaccoville, NC 27050-9731

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