Individual
JANNA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6223 SLATER ST, OVERLAND PARK, KS 66202-2848
(913) 710-0935
Mailing address
6114 ROBINSON ST, OVERLAND PARK, KS 66202-3053
(913) 710-0935
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1219
KS
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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