Individual
ANDREA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7135 NORTH 2350 WEST, HONEYVILLE, UT 84314
(435) 730-7781
Mailing address
PO BOX 351, HONEYVILLE, UT 84314-0351
(435) 730-7781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6248795-4102
UT
Other
Enumeration date
07/14/2015
Last updated
07/27/2021
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