Individual
CASSIDY BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
280 N MAIN ST # 2, BOUNTIFUL, UT 84010-6136
(801) 292-8665
Mailing address
2369 NECTAR WAY, SARATOGA SPRINGS, UT 84045-3885
(435) 770-6254
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9073417-4102
UT
235Z00000X
Speech-Language Pathologist
TSLP7421
AZ
Other
Enumeration date
09/15/2011
Last updated
09/26/2014
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