Individual
DR. DAVID CHRISTIAN BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2830 MAPLEWOOD AVENUE, SUITE A, WINSTON SALEM, NC 27103-4114
(336) 659-2448
(336) 659-2449
Mailing address
3320 ROBINHOOD RD, PMB #302, WINSTON SALEM, NC 27106-5404
(336) 659-2448
(336) 659-2449
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2906
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000595
—
NC
Enumeration date
04/13/2007
Last updated
05/31/2012
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