Michelle Bullock, M.A., CCC-SLP
Speech-Language Pathologist, in Marysville, OH. Individual provider (NPI-1).
NPI number1114701331
StatusActive
Last updated in NPPESAug 21, 2023
Details
- NPI
- 1114701331
- Entity type
- Individual (NPI-1)
- Name
- Michelle Bullock
- Credential
- M.A., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2023
- Certification date
- Aug 20, 2023
- Last updated
- Aug 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SP.13393 | OH | Yes |
Practice location
424 Bridgewater DrMarysville, OH 43040-9366
Phone 614-943-3275
Mailing address
424 Bridgewater DrMarysville, OH 43040-9366
Phone 614-943-3275
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All 18 Speech-Language Pathologist providers in Marysville · All 942 providers in Marysville
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