P Praxis·MD
● Active Type 1 · Individual

MRS. Mallory Boehler Bradley, M.S., CCC-SLP

Speech-Language Pathologist·Woodstock, GA· NPI 1497200521 · Enumerated 2016 · 9 years on NPI
Bradley is 1 of 71 speech-language pathologist providers in Woodstock and 1 of 5327 in Georgia.
NPI age
9 years
Enumerated 2016-08-18
Primary specialty
Speech-Language Pathologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-08-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5327 active speech-language pathologist providers in Georgia.

NPI age
9 years
≈ at median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-08Enumerated in NPPES
2016 2026

Where they practice

Practice location
719 Rosedale Rd
Woodstock, GA 301896106
📞 7314390642
Mailing address
719 Rosedale Rd
Woodstock, GA 301896106
📞 7314390642

Specialties

  • Speech-Language Pathologist Primary
    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...
    GA license #SLP009174 taxonomy 235Z00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new speech-language pathologist providers have been added in Woodstock in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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