Individual
MICHELLE GRACE TATKO BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
18551 E 160TH AVE, BRIGHTON, CO 80601-8519
(303) 655-2900
Mailing address
1750 LITTLE RAVEN ST APT 239, DENVER, CO 80202-7150
(509) 939-2304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24377829
CO
Other
Enumeration date
11/16/2023
Last updated
08/15/2024
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