Individual
DR. TERI M BULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1319 VINCENT PL, MC LEAN, VA 22101-3615
(802) 380-1713
Mailing address
75 MOUNT RD, CUMMINGTON, MA 01026-9702
(802) 380-1713
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
796
VT
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
796
VT
103TS0200X
School Psychologist
796
VT
Other
Enumeration date
04/23/2007
Last updated
02/22/2023
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