Active NPIIndividual provider

Brittany J Bullock, MS, CCC-SLP

Speech-Language Pathologist, in Lebanon, New Hampshire

NPI Number1053166074
Practice location
1 Medical Center Dr, Lebanon, NH 03756-0001
Fax
—
Last updated
April 30, 2024

Brittany Jo Bullock is a Speech-Language Pathologist, based in Lebanon, NH. Brittany Jo Bullock practices in Lebanon, NH and has the professional credentials of MS, CCC-SLP. The NPI Number for Brittany Jo Bullock is 1053166074 and holds a License No. 100923 (MA). The current practice location address for Brittany Jo Bullock is 1 Medical Center Dr, Lebanon, NH 03756-0001 and can be reached out via phone at 603-650-3600.

Provider Profile Details

NPI Number
1053166074
Provider Name
Brittany Jo Bullock
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Center Dr, Lebanon, NH 03756-0001
Phone Number
603-650-3600
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 22, 2024
Last Update Date
April 30, 2024
Certification Date
April 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-0001
Zip
03756-0001
Phone Number
603-650-3600
Lebanon, NH 03756Get directions →

Provider Business Mailing Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-1000
City
Lebanon
State
NH
Zip
03756-1000
Phone Number
603-650-3600

License Information

License Number (1)
100923
License State (1)
MA
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
1801
License State (2)
NH
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Speech-Language Pathologist, providers near Lebanon, NH

View all Speech-Language Pathologist, providers in Lebanon →

Frequently Asked Questions

What is the NPI number of Brittany J Bullock, MS, CCC-SLP?

The NPI number of Brittany J Bullock, MS, CCC-SLP is 1053166074. It was assigned on April 22, 2024 and is currently active in the NPPES registry.

What is the specialty of Brittany J Bullock, MS, CCC-SLP?

Brittany J Bullock, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 100923.

Where does Brittany J Bullock, MS, CCC-SLP practice?

The practice location is 1 Medical Center Dr, Lebanon, NH 03756-0001. The office can be reached at 603-650-3600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053166074 directly on the NPPES registry website.

Browse related providers