Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093012908 Individual Practitioner Female Practitioner

Mary Bulloch , SLP

Speech-Language Pathologist • Broadlands, VA

Professional Overview & Biography Verified Profile Summary

Mary Bulloch, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Broadlands, VA. Practice services are available at 21895 CRESCENT PARK SQ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21895 Crescent Park Sq
Apt 303

Broadlands, VA 201484434

Telephone 7244339242

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Broadlands, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
76 Specialists

Practicing in Broadlands, VA (4974 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202005384

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 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2011

Registered at 21895 CRESCENT PARK SQ, APT 303, BROADLANDS, VA 201484434 (Tel: 7244339242)

📍
Updated Business Mailing Address February 12, 2011

Registered at 21895 CRESCENT PARK SQ, APT 303, BROADLANDS, VA 201484434 (Tel: 7244339242)

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Provider Name / Credentials Updated February 12, 2011

Recorded as MARY BULLOCH, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2011

Speech-Language Pathologist (License #2202005384 in VA)

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Initial NPI Registration & Enumeration February 12, 2011

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: 1093012908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2011
Last Update: February 12, 2011
Sole Proprietor: Yes

Mailing Address

21895 Crescent Park Sq, Apt 303

Broadlands, VA 201484434

Phone: 7244339242

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.