| Brittany Jo Bullock, MS, CCC-SLP | |
|
1 Medical Center Dr, Lebanon, NH 03756-0001 | |
| (603) 650-3600 | |
| Not Available |
| Full Name | Brittany Jo Bullock |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1 Medical Center Dr, Lebanon, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053166074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 100923 (Massachusetts) | Secondary |
| 235Z00000X | Speech-language Pathologist | 1801 (New Hampshire) | Primary |
| Provider Name | Chmc Otolaryngologic Foundation, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124118229 PECOS PAC ID: 9234102526 Enrollment ID: O20040816000514 |
| Mailing Address | Practice Location Address |
|---|---|
| Brittany Jo Bullock, MS, CCC-SLP 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: (603) 650-3600 | Brittany Jo Bullock, MS, CCC-SLP 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-3600 |
Lauren Mcadam, MED CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24 Old Etna Rd, Lebanon, NH 03766 Phone: 603-448-2234 | |
Julie Bascom, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24 Old Etna Rd, Lebanon, NH 03766 Phone: 603-443-9875 | |
Mrs. Denise M Mitchell, MS, CCC-S Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Court St, Suite 360, Lebanon, NH 03766 Phone: 603-448-5218 Fax: 603-448-5219 | |
Leslie Sudak, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10 Mascoma St, Lebanon, NH 03766 Phone: 603-867-0900 | |
Meghan Lamica, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 195 Hanover St, Lebanon, NH 03766 Phone: 603-524-9090 | |
Upper Valley Speech-language Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Court St, Suite 360, Lebanon, NH 03766 Phone: 603-448-5218 Fax: 603-448-5219 |