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

Individual provider Speech-Language Pathologist · NPI 1093012908

Mary Bulloch, SLP is a Speech-Language Pathologist in Broadlands, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2011
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

21895 Crescent Park Sq Apt 303
Broadlands, VA 20148-4434
Phone: (724) 433-9242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202005384 (VA)

Record details

NPI number1093012908
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorYes
NPI enumeratedFebruary 12, 2011
Last updated in NPPESFebruary 12, 2011

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