Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mallory Boehler Bradley, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1497200521

Mrs. Mallory Boehler Bradley, MS, CCC-SLP is a Speech-Language Pathologist in Woodstock, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2016
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

719 Rosedale Rd
Woodstock, GA 30189-6106
Phone: (731) 439-0642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP009174 (GA)

Record details

NPI number1497200521
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 18, 2016
Last updated in NPPESAugust 18, 2016

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