Mallory Bragg

Speech-Language Pathologist · Springfield, IL

Individual Active NPI

NPI number 1265224802

Practice location

251 Golf Rd
Springfield, IL 62704-3179
Phone
(217) 415-3020

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NPI record

NPI
1265224802
Entity type
Individual (Type 1)
Enumeration date
May 20, 2025
Last updated
May 20, 2025
Certified
May 20, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 242.008203 IL

About Mallory Bragg

Mallory Bragg is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 251 Golf Rd, Springfield, IL 62704-3179. The NPI number 1265224802 was assigned on May 20, 2025 and the record was last updated on May 20, 2025.

Mallory Bragg lists a license in the registry: #242.008203 (IL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mallory Bragg?

The NPI number is 1265224802.

What is the phone number of Mallory Bragg?

The phone number listed for the practice location is (217) 415-3020.

Where is Mallory Bragg located?

251 Golf Rd, Springfield, IL 62704-3179.

What is the taxonomy code for Mallory Bragg?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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