Mary Bulloch, SLP
NPI #1093012908 in Broadlands, Virginia
Provider Information
- NPI Number
- 1093012908
- Entity Type
- Individual
- Name
- Mary Bulloch, SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- Feb 12, 2011
- Last Updated
- Feb 12, 2011
Practice Location
- Address
- 21895 CRESCENT PARK SQ
- Address 2
- APT 303
- City
- Broadlands
- State
- Virginia
- ZIP Code
- 20148-4434
- Phone
- (724) 433-9242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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