Individual
JAMES HOWARD BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
9097 ATLEE STATION RD, SUITE 219, MECHANICSVILLE, VA 23116-2525
(804) 730-2829
(804) 730-2829
Mailing address
9097 ATLEE STATION RD, SUITE 219, MECHANICSVILLE, VA 23116-2525
(804) 730-2829
(804) 730-2829
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001604
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440242
ANTHEM
VA
05
—
7705077
—
VA
Enumeration date
08/01/2006
Last updated
07/08/2007
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