Individual
MRS. ERICA ELIZABETH BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
1609 WALDEN DR, OZARK, AR 72949
(479) 667-4118
(479) 667-4092
Mailing address
2421 ADAMS RD, OZARK, AR 72949-4150
(501) 339-5128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3792
AR
Other
Enumeration date
09/02/2014
Last updated
07/13/2018
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