SHIRRON DOBIE BULLOCK (NPI# 1699952945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699952945 |
| Entity Type | Individual |
| Full Name | SHIRRON DOBIE BULLOCK |
| Other Name | SHIRRON DOBIE |
| Practice Address |
255 E South Blvd Petersburg VA 23805 |
| Mailing Address |
1653 Darby Dr Petersburg VA 23803-5331 |
| Practice Telephone | 8047320510 |
| Mailing Telephone | 7578141808 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2202004252 | VA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 729 Thimble Shoals Blvd, Suite 4c, Newport News, VA 236064217 | 7578732932 |
| Street Address |
255 E SOUTH BLVD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483245 | Jerome Eric Coleman | Speech-Language Pathologist | 255 E South Blvd, Petersburg, VA 23805-2700 | 2020-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194230946 | Stormi Brue | Speech-Language Pathologist | 842 Red Bud Pl, Petersburg, IL 62675-9576 | 2017-12-01 |
| 1427576495 | Hayley Rebecka Cline | Speech-Language Pathologist | 18849 Cline St, Petersburg, IL 62675-7037 | 2017-08-30 |
| 1790183903 | Cynthia Morgan Marstin | Speech-Language Pathologist | 6405 Boydton Plank Road, Petersburg, VA 23803-7401 | 2014-12-22 |
| 1619283231 | Sarah K. D. Nelson | Speech-Language Pathologist | 6405 Boydton Plank Rd, Petersburg, VA 23803-7401 | 2010-08-19 |
| 1376783415 | Sandra Marie Catlin | Speech-Language Pathologist | 762 56 Road, Petersburg, NY 12138 | 2009-03-03 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1386840700 | Tracy Ann Muller | Speech-Language Pathologist | 748 Persimmon Rd, Petersburg, IL 62675-9554 | 2007-06-22 |
| 1700483245 | Jerome Eric Coleman | Speech-Language Pathologist | 255 E South Blvd, Petersburg, VA 23805-2700 | 2020-10-07 |
| 1518423854 | Margaret Anne Otto | Speech-Language Pathologist | 250 Flank Rd, Petersburg, VA 23805-9117 | 2019-02-12 |
| 1144700162 | Michelle Moss | Speech-Language Pathologist | 287 E South Blvd, Petersburg, VA 23805-2700 | 2018-08-20 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.