Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY LYN BULLOCK, SLP
ActiveSpeech, Language and Hearing Specialist · SANDY, UT
Registration Details
- NPI Number
- 1568627347
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2008 (17.782036931236 yrs)
- Last Updated
- Dec 22, 2011
- License
-
6975681-4102 (UT)
Practice Information
- Address
-
870 E 9400 S STE 112SANDY, UT, 840943688Browse UT providers · Browse ZIP 84094
- Phone
- 8015713081
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in SANDY, UT
| Name | Credential | NPI |
|---|---|---|
| MS. LINDA RAE WHITE | M.S.,C.C.C.-SLP | 1194798322 |
| SUSAN LEE BABCOCK | SLP | 1366536476 |
| MARTINA HERTE COSTELLO | SLP | 1578657599 |
| JONEL MARIE CONDRA | SLP | 1649365248 |
| ALLISON RAE TANNER | SLP | 1841389947 |
| AMY A BUCKLEY | MS CCC SLP | 1407921026 |
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.