Bullock, Rebecca Susan

Bullock, Rebecca Susan is an sole proprietor health care provider with primary practice located at 711 Avignon Dr , Ridgeland MS 39157-5120. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bullock, Rebecca Susan can be contacted via phone (601) 605-6777.

Contact Information

Primary practice address
711 Avignon Dr Ridgeland MS 39157-5120
Fax: (601) 605-8869
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S3246 Mississippi

Profile Details

NPI number 1992967327
LBN Legal business name Bullock, Rebecca Susan
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2008
Last updated Jun 26th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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