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DEJA TATYANA BULLUCK
NPI 1447934245
Speech-Language Pathologist in Herndon, VA

Active since June 12, 2023
1110 HERNDON PKWY STE 205, HERNDON, VA 20170(571) 305-1906 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2023, Jun 12, 2023 (2 updates tracked since 2023).

About Deja Tatyana Bulluck NPPES

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

DEJA TATYANA BULLUCK (NPI 1447934245) is an individual speech-language pathologist provider in Herndon, Virginia and active in the NPI registry since June 2023. She maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1447934245
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDEJA TATYANA BULLUCK
Location Address1110 HERNDON PKWY STE 205Herndon, VA 20170-5547
Mailing Address6020 Stoddard Ct Apt 202Alexandria, VA 22315-5610 · (202) 805-1057
Phone(571) 305-1906
Sole ProprietorYes
Enumeration DateJune 12, 2023
Last NPPES UpdateJune 19, 20232 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1447934245 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
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.
1110 HERNDON PKWY STE 205, Herndon, VA 20170
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Secondary Practice Location 1

Location 16020 Stoddard Ct Apt 202Alexandria, VA 22315-5610 · Phone (202) 805-1057

Other Providers at the Same Location NPPES 5

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

MS. KRISTIN ANN KOLE
Occupational Therapy Assistant
1110 HERNDON PKWY STE 205
HERNDON, VA 20170
Fairfax County (571) 305-1906
MAYS OMAR AWADALLAH
Occupational Therapist (Pediatrics)
1110 HERNDON PKWY STE 205
HERNDON, VA 20170
Fairfax County (703) 929-7235
MEREDITH LOBB CF-SLP
Speech-Language Pathologist
1110 HERNDON PKWY STE 205
HERNDON, VA 20170
Fairfax County (571) 305-1906
AMARA BARNES
Specialist/Technologist (Speech-Language Assistant)
1110 HERNDON PKWY STE 205
HERNDON, VA 20170
Fairfax County (571) 305-1906
LINDSEY BROOKS
Speech-Language Pathologist
1110 HERNDON PKWY STE 205
HERNDON, VA 20170
Fairfax County (571) 305-1906

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 Deja Bulluck's NPI number?

The NPI number for Deja Bulluck is 1447934245. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Deja Bulluck located?

Deja Bulluck practices at 1110 Herndon Pkwy Ste 205, Herndon, VA 20170. The listed phone number is (571) 305-1906.

What is Deja Bulluck'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 Deja Bulluck was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.