Doctor Name: | CASSIDY BULL |
NPI Number: | 1073895025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | TSLP7421 |
Business Practice Address: | 280 N Main St # 2 Bountiful, UT - 840106136 |
Business Phone Number: | 8012928665 |
Business Fax Number: | |
Mailing Address: | 2369 Nectar Way, SARATOGA SPRINGS |
State: | UT |
Postal Code: | 840453885 |
Phone Number: | 4357706254 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2011 |
NPI Last Update Date: | 09/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | TSLP7421 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |