Individual
HALLIE BULKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
11908 BRISTOL MANOR CT, N BETHESDA, MD 20852-5804
(301) 943-0920
(240) 206-3250
Mailing address
11908 BRISTOL MANOR CT, N BETHESDA, MD 20852-5804
(301) 943-0920
(240) 206-3250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06297
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06297
MARYLAND STATE LICENSE IN SPEECH LANGUAGE PATHOLOGY
MD
01
—
12112853
ASHA #
MD
01
—
SLP000657
DC BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY
DC
Enumeration date
06/06/2013
Last updated
02/28/2014
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