Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568627347 Individual Practitioner Female Practitioner

Kelly Lyn Bullock , SLP

Speech-Language Pathologist • Sandy, UT

Professional Overview & Biography Verified Profile Summary

Kelly Bullock, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Sandy, UT. Practice services are available at 870 E 9400 S STE 112 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

870 E 9400 S Ste 112

Sandy, UT 840943688

Telephone 8015713081
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Sandy, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
51 Specialists

Practicing in Sandy, UT (1352 Statewide)

Telehealth Adoption Rate
2.0% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License UT 6975681-4102

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Cambry Kaylor

Occupational Therapist

NPI 1013465921
Kelcey Murdoch , MOT, OTR, L

Occupational Therapist

NPI 1164863551

Master of Occupational Therapy, Occupational Therapist Registered, L

Brynnan Halsey , OTR, L

Occupational Therapist

NPI 1164943361

Occupational Therapist Registered, L

Danni Miller , OTR, L

Occupational Therapist - Pediatrics

NPI 1225341142

Occupational Therapist Registered, L

Elizabeth Siebert , PT

Physical Therapist

NPI 1417041450

Physical Therapist

Wende Oberg , OTR, L

Occupational Therapist

NPI 1528152485

Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2011

Registered at 870 E 9400 S STE 112, SANDY, UT 840943688 (Tel: 8015713081)

📍
Updated Business Mailing Address December 22, 2011

Registered at 870 E 9400 S, STE 112, SANDY, UT 840943666 (Tel: 8018404361)

👤
Provider Name / Credentials Updated December 22, 2011

Recorded as KELLY BULLOCK, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2011

Speech-Language Pathologist (License #6975681-4102 in UT)

🟢
Initial NPI Registration & Enumeration July 22, 2008

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: 1568627347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2008
Last Update: December 22, 2011
Sole Proprietor: No

Mailing Address

870 E 9400 S, Ste 112

Sandy, UT 840943666

Phone: 8018404361

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.