Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447934245 Individual Practitioner Female Practitioner

Deja Tatyana Bulluck

Speech-Language Pathologist • Herndon, VA

Professional Overview & Biography Verified Profile Summary

Deja Bulluck is a registered healthcare professional specializing in Speech-Language Pathologist in Herndon, VA. Practice services are available at 1110 HERNDON PKWY STE 205 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1110 Herndon Pkwy Ste 205

Herndon, VA 201705547

Telephone 5713051906

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Herndon, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
26 Specialists

Practicing in Herndon, 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

CMS Verified: 2023-06-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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.

Secondary Practice Locations

6020 Stoddard Ct Apt 202

Alexandria, VA 223155610

Phone: 2028051057

Practice Associates & Co-Workers

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

5 Associated Practitioners
Kristin Kole

Occupational Therapy Assistant

NPI 1043025398
Meredith Lobb , CF-SLP

Speech-Language Pathologist

NPI 1124903034

Clinical Fellow in Speech-Language Pathology

Amara Barnes

Specialist/Technologist - Speech-Language Assistant

NPI 1366167371
Lindsey Brooks

Speech-Language Pathologist

NPI 1407749153
Christy Zaylah

Specialist/Technologist - Speech-Language Assistant

NPI 1780300970

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2023

Registered at 1110 HERNDON PKWY STE 205, HERNDON, VA 201705547 (Tel: 5713051906)

📍
Updated Business Mailing Address June 19, 2023

Registered at 6020 STODDARD CT APT 202, ALEXANDRIA, VA 223155610 (Tel: 2028051057)

👤
Provider Name / Credentials Updated June 19, 2023

Recorded as DEJA BULLUCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2023

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration June 12, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Deja Bulluck. Be the first to share your experience!

Sign in to leave a review for Deja Bulluck

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1447934245
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2023
Last Update: June 19, 2023
Sole Proprietor: Yes

Mailing Address

6020 Stoddard Ct Apt 202

Alexandria, VA 223155610

Phone: 2028051057

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.