| Doctor Name: | JESSICA BULL |
| NPI Number: | 1376949651 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ST |
| License Number: | SL011560 |
| Business Practice Address: | 445 N Valley Forge Rd Ste 118 Devon, PA - 193331239 |
| Business Phone Number: | 8774073422 |
| Business Fax Number: | |
| Mailing Address: | 7 Carnegie Plz, CHERRY HILL |
| State: | NJ |
| Postal Code: | 080031000 |
| Phone Number: | 8774073422 |
| Fax Number: | 8558700438 |
| NPI Enumeration Date: | 11/13/2014 |
| NPI Last Update Date: | 11/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL011560 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |