Individual
BRENDA BULLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00042
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027650
BEACON
RI
01
—
213408
BLUE CROSS PROVIDER NUMBE
RI
01
—
2156802
CIGNA
RI
01
—
240423
MHN
RI
01
—
408807
BLUE CHIP
RI
01
—
412783
VAL6
RI
01
—
P00027296
MEDICARE RAILROAD
RI
Enumeration date
09/21/2005
Last updated
07/08/2007
Update your record
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