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

Q: 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.

Q: What is Mary Bulloch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Bulloch was last updated on February 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(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

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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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.