Bulloch, Mary

Bulloch, Mary is an sole proprietor health care provider with primary practice located at 21895 Crescent Park Sq Apt 303, Broadlands VA 20148-4434. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bulloch, Mary can be contacted via phone (724) 433-9242.

Contact Information

Primary practice address
21895 Crescent Park Sq Apt 303 Broadlands VA 20148-4434
Phone: (724) 433-9242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202005384 Virginia

Profile Details

NPI number 1093012908
LBN Legal business name Bulloch, Mary
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2011
Last updated Feb 12th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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