Individual
KELSEY BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
117 TEMPLE ST, RUTLAND, VT 05701-3530
(802) 786-1729
Mailing address
7 BARLEY FIELD PL, RUTLAND, VT 05701-2927
(802) 683-9702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
144.0134510
VT
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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