Individual provider · Type 1 NPI

Deja Tatyana Bulluck

Speech-Language Pathologist · Herndon, VA

NPI number 1447934245 Active

Practice location

1110 Herndon Pkwy Ste 205
Herndon, VA 20170-5547

Call (571) 305-1906 Map

Mailing address

6020 Stoddard Ct Apt 202
Alexandria, VA 22315-5610

Other practice locations

  • 6020 Stoddard Ct Apt 202, Alexandria, VA 22315-5610 · (202) 805-1057

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: 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, resonan…

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About NPI 1447934245

Deja Tatyana Bulluck's National Provider Identifier is 1447934245, issued on Jun 12, 2023. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Herndon, VA. The record was last updated on Jun 19, 2023.