Organization
LITTLE SPROUT SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALLIE BULKIN MA CCC-SLP (OWNER)
(301) 943-0920
Entity
Organization
Contact information
Practice address
11908 BRISTOL MANOR CT, NORTH BETHESDA, MD 20852-5804
(301) 943-0920
(240) 260-1450
Mailing address
11908 BRISTOL MANOR CT, NORTH BETHESDA, MD 20852-5804
(301) 943-0920
(240) 260-1450
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
06297
MD
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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