MARY BULLOCH (NPI# 1093012908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093012908 |
| Entity Type | Individual |
| Full Name | MARY BULLOCH |
| Credential | SLP |
| Practice Address |
21895 Crescent Park Sq Apt 303 Broadlands VA 20148-4434 |
| Practice Telephone | 7244339242 |
| Mailing Telephone | 7244339242 |
| Enumeration Date | 2011-02-12 |
| Last Update Date | 2011-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2202005384 | VA | Speech, Language and Hearing Service Providers |
| Street Address |
21895 CRESCENT PARK SQ APT 303 |
| City | BROADLANDS |
| State | VA |
| Zip Code | 20148-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447550 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 23684 Strickland Drive, Ashburn, VA 20148 | 2019-10-04 |
| 1932760196 | Gino Vc, Dds, Pllc | Clinic/Center | 22420 Flagstaff Plaza, Suite 150, Ashburn, VA 20148 | 2019-06-27 |
| 1396241907 | Shawnda Williams Saul | Speech-Language Pathologist | 2100 Education Court, Ashburn, VA 20148 | 2018-04-03 |
| 1558879973 | Gianfranco Acevedo | Non-emergency Medical Transport (VAN) | 22535 Welborne Manor Sq, Ashburn, VA 20148 | 2018-01-19 |
| 1255855797 | Juan Pablo Duran | Physical Therapist | 42365 Soave Dr Ste 200, Brambleton, VA 20148 | 2017-07-26 |
| 1972918670 | Ashley Passarelli | Speech-Language Pathologist | 21000 Education Ct., Ashburn, VA 20148 | 2014-06-23 |
| 1326396474 | Mary Elizabeth Creagh | Speech-Language Pathologist | 21000 Education Court, Ashburn, VA 20148 | 2012-08-21 |
| 1770838971 | Harris Teeter LLC | Pharmacy | 43315 Crandall Square, Ashburn, VA 20148 | 2012-07-13 |
| 1326308834 | Shilpa Arimanda | Physical Therapist | 43356 Barnstead Dr, Ashburn, VA 20148 | 2012-05-18 |
| 1760750988 | Minhhieu Nguyen | Pharmacist | 43776 Maison Blanc Square, Ashburn, VA 20148 | 2011-12-02 |
| Find all providers in zip 20148 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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 geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427690551 | Nicholas Raymond | Speech-Language Pathologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2019-10-10 |
| 1528609807 | Erin Raymond | Speech-Language Pathologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2019-10-08 |
| 1487201588 | Victoria Starr | Speech-Language Pathologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2019-08-22 |
| 1245887603 | Madeline Elaine Johnson | Speech-Language Pathologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2019-08-21 |
| 1629625058 | Leah Horton | Speech-Language Pathologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2019-08-21 |
| 1326518812 | Christa Spratling | Speech-Language Pathologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2018-11-28 |
| 1699243808 | Leah Paige Casto | Speech-Language Pathologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2018-11-06 |
| 1649754896 | Kelly Manning | Speech-Language Pathologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2018-09-23 |
| 1043700560 | Irene Lee | Speech-Language Pathologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2018-05-10 |
| 1861981441 | Denise Quinn Holmberg | Speech-Language Pathologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2018-05-09 |
| Find all providers in BROADLANDS | ||||
| City | BROADLANDS |
| Zip Code | 20148 |
Please comment or provide details below to improve the information on MARY BULLOCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.