MARY BULLOCH SLP
NPI 1093012908
Speech-Language Pathologist in Broadlands, VA

Active since February 12, 2011
21895 CRESCENT PARK SQ, APT 303, BROADLANDS, VA 20148(724) 433-9242 Get Directions Write a Review

NPPES record last updated: February 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Bulloch Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BULLOCH SLP (NPI 1093012908) is an individual speech-language pathologist provider in Broadlands, Virginia, licensed in Virginia (2202005384) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1093012908
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY BULLOCHCredential: SLP
Location Address21895 CRESCENT PARK SQ, APT 303Broadlands, VA 20148-4434
Mailing Address21895 Crescent Park Sq, Apt 303Broadlands, VA 20148-4434 · (724) 433-9242
Sole ProprietorYes
Enumeration DateFebruary 12, 2011
NPI 1093012908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in VA · 2202005384
Definition

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.

21895 CRESCENT PARK SQ, Broadlands, VA 20148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Bulloch's NPI number?

The NPI number for Mary Bulloch is 1093012908. It was assigned to this individual provider in the NPPES registry on February 12, 2011.

Where is Mary Bulloch located?

Mary Bulloch practices at 21895 Crescent Park Sq Apt 303, Broadlands, VA 20148. The listed phone number is (724) 433-9242.

What is Mary Bulloch's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mary Bulloch was last updated on February 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.