Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Janna Bullock, MS, CCC-SLP

Individual provider Specialist · NPI 1073903969

Janna Bullock, MS, CCC-SLP is a Qualified Speech Language Pathologist in Overland Park, Kansas. Qualified in 1984, 42 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
42
Licensed in
KS
In the registry since
2015
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

6223 Slater St
Overland Park, KS 66202-2848
Phone: (913) 710-0935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1219 (KS)

Record details

NPI number1073903969
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 29, 2015
Last updated in NPPESJanuary 29, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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