Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194678250 Individual Practitioner Female Practitioner

Carly Bullard

Speech-Language Pathologist • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Carly Bullard is a registered healthcare professional specializing in Speech-Language Pathologist in Modesto, CA. Practice services are available at 3101 FINE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3101 Fine Ave

Modesto, CA 953559702

Telephone 2095523200

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
56 Specialists

Practicing in Modesto, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 12632

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 18, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2026

Registered at 3101 FINE AVE, MODESTO, CA 953559702 (Tel: 2095523200)

📍
Updated Business Mailing Address February 18, 2026

Registered at 3101 FINE AVE, MODESTO, CA 953559702 (Tel: 2095523200)

👤
Provider Name / Credentials Updated February 18, 2026

Recorded as CARLY BULLARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2026

Speech-Language Pathologist (License #12632 in CA)

🟢
Initial NPI Registration & Enumeration February 18, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194678250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2026
Last Update: February 18, 2026
Sole Proprietor: No

Mailing Address

3101 Fine Ave

Modesto, CA 953559702

Phone: 2095523200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.