Individual
AMANDA BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
264 CANAL ST STE 6E, NEW YORK, NY 10013-3596
(212) 925-8069
(347) 602-9058
Mailing address
264 CANAL ST STE 6E, NEW YORK, NY 10013-3596
(212) 925-8069
(347) 602-9058
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
0198451
NY
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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