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MR. KEITH ELDON BULLOCK M.S., CCC/ SLP
NPI 1124379144
Speech-Language Pathologist in Atlanta, GA

Active since October 01, 2012
1835 SAVOY DR, SUITE 100, ATLANTA, GA 30341(678) 298-9484(678) 826-4033 Get Directions Write a Review

NPPES record last updated: November 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Keith Eldon Bullock M.s., Ccc/ Slp NPPES

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

MR. KEITH ELDON BULLOCK M.S., CCC/ SLP (NPI 1124379144) is an individual speech-language pathologist provider in Atlanta, Georgia, licensed in Georgia (SLP007934) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1124379144
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. KEITH ELDON BULLOCKCredential: M.S., CCC/ SLP
Location Address1835 SAVOY DR, SUITE 100Atlanta, GA 30341-1072
Mailing Address1835 Savoy Dr, Suite 100Atlanta, GA 30341-1072 · (678) 298-9484 · Fax (678) 826-4033
Phone(678) 298-9484
Fax(678) 826-4033
Sole ProprietorYes
Enumeration DateOctober 1, 2012
Last NPPES UpdateNovember 13, 2012
✔ NPI 1124379144 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 GA · SLP007934
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.

1835 SAVOY DR, Atlanta, GA 30341
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ERIKA V ROBINSON
Speech-Language Pathologist
1835 SAVOY DR, SUITE 100
ATLANTA, GA 30341
Dekalb County (678) 298-9484
OM HEALTH SERVICES
Hospice Care, Community Based
1835 SAVOY DR, SUITE 100
ATLANTA, GA 30341
Dekalb County (678) 298-9484
BROOKE GENTLY MA, LPC
Counselor (Professional)
1835 SAVOY DR, STE 101
ATLANTA, GA 30341
Dekalb County (770) 234-0981
MS. DAWN MARGARET MARTIN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1835 SAVOY DR, SUITE 101
ATLANTA, GA 30341
Dekalb County (770) 234-0981
CINDY WILLIAMS PT
Physical Therapist
1835 SAVOY DR, SUITE 100
ATLANTA, GA 30341
Dekalb County (678) 298-9484
NICOLE YARSAWICH OTR/L
Occupational Therapist
1835 SAVOY DR, SUITE 100
ATLANTA, GA 30341
Dekalb County (678) 298-9484
JAMES WALTER GILMORE JR. PHARMD
Pharmacist (Oncology)
1835 SAVOY DR, SUITE 300
ATLANTA, GA 30341
Dekalb County (770) 496-9403
SHARI BERMAN PTA
Physical Therapy Assistant
1835 SAVOY DR, SUITE 100
ATLANTA, GA 30341
Dekalb County (678) 298-9484

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 Keith Bullock's NPI number?

The NPI number for Keith Bullock is 1124379144. It was assigned to this individual provider in the NPPES registry on October 1, 2012.

Where is Keith Bullock located?

Keith Bullock practices at 1835 Savoy Dr Suite 100, Atlanta, GA 30341. The listed phone number is (678) 298-9484.

What is Keith Bullock'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 Keith Bullock was last updated on November 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.