Deja Tatyana Bulluck

NPI #1447934245 in Herndon, Virginia

Provider Information

NPI Number
1447934245
Entity Type
Individual
Name
Deja Tatyana Bulluck
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jun 12, 2023
Last Updated
Jun 19, 2023

Practice Location

Address
1110 HERNDON PKWY STE 205
ZIP Code
20170-5547
Phone
(571) 305-1906

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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