Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEJA TATYANA BULLUCK
Active Sole ProprietorDEJA TATYANA BULLUCK is a Speech, Language and Hearing Specialist healthcare provider located in HERNDON, Virginia. NPI 1447934245 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · HERNDON, VA
Registration Details
- NPI Number
- 1447934245
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2023 (3.1677947259738 yrs)
- Last Updated
- Jun 19, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1110 HERNDON PKWY STE 205HERNDON, VA, 201705547Browse VA providers · Browse ZIP 20170
- Phone
- 5713051906
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in HERNDON, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. HEATHER ANNE DECKELBAUM | M.S., CCC | 1790811560 |
| LINDSAY M MCCLEANE | SLP, CCC | 1578682407 |
| TRACY GOSS | MS, CCC-SLP | 1629257753 |
| MRS. ADELA MITCHELL DART | SLP | 1881851624 |
| JOYCE T MILLER | SLP | 1417100926 |
| MAUREEN E LEANG | MA CCC-SLP | 1841439759 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.