Individual
MARY AMANDA BULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2839 BISHOP CREEK RD, LYNCH STATION, VA 24571-2445
(434) 941-8185
Mailing address
785 FATHER JUDGE RD, MONROE, VA 24574-2734
(434) 665-8145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006193
VA
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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