Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Miranda Wynn Bullock-Davidson, MS, CFY-SLP

Individual provider Speech-Language Pathologist · NPI 1104144336

Mrs. Miranda Wynn Bullock-Davidson, MS, CFY-SLP is a Speech-Language Pathologist in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2010.

Licensed in
KY
In the registry since
2010
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1001 Monarch St Ste 110
Lexington, KY 40513-1495
Phone: (859) 224-0834
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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 10-027 (KY)

Record details

NPI number1104144336
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CFY-SLP
Sole proprietorNo
NPI enumeratedMay 12, 2010
Last updated in NPPESMay 12, 2010

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