Active NPIIndividual provider

Dr. Anastasia J Bullock, PSYD

Psychologist in Camden, New Jersey

NPI Number1619480795
Practice location
1 Cooper Plz, Camden, NJ 08103-1461
Fax
—
Last updated
October 9, 2018

Anastasia Jean Bullock is a Psychologist based in Camden, NJ. Anastasia Jean Bullock practices in Camden, NJ and has the professional credentials of PSYD. The NPI Number for Anastasia Jean Bullock is 1619480795 and holds a License No. 35SI00586700 (NJ). The current practice location address for Anastasia Jean Bullock is 1 Cooper Plz, Camden, NJ 08103-1461 and can be reached out via phone at 856-342-2000.

Provider Profile Details

NPI Number
1619480795
Provider Name
Anastasia Jean Bullock
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1 Cooper Plz, Camden, NJ 08103-1461
Phone Number
856-342-2000
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Other Names
Anastasia Jean Sokol (Former Name)
Provider Enumeration Date
November 10, 2017
Last Update Date
October 9, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Cooper Plz
Camden, NJ 08103-1461
City
Camden
Zip
08103-1461
Phone Number
856-342-2000
Camden, NJ 08103Get directions →

Provider Business Mailing Address Details

Address
1 Federal St
Camden, NJ 08103-1088
City
Camden
State
NJ
Zip
08103-1088
Phone Number
856-356-4924

License Information

License Number
35SI00586700
License State
NJ
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Dr. Anastasia J Bullock, PSYD?

The NPI number of Dr. Anastasia J Bullock, PSYD is 1619480795. It was assigned on November 10, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Anastasia J Bullock, PSYD?

Dr. Anastasia J Bullock, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35SI00586700.

Where does Dr. Anastasia J Bullock, PSYD practice?

The practice location is 1 Cooper Plz, Camden, NJ 08103-1461. The office can be reached at 856-342-2000 (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 1619480795 directly on the NPPES registry website.

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