Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gwynetta Bullock

Individual provider Speech-Language Pathologist · NPI 1427576883

Gwynetta Bullock is a Speech-Language Pathologist in Peoria, Illinois. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1801 E Shady Oak Dr
Peoria, IL 61614-7907
Phone: (309) 686-1948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1427576883
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 6, 2017
Last updated in NPPESJuly 21, 2022

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