SHELBY BULLOCK


Address: 3867 Serenity St, Springdale, AR 72764-6521
Phone: 8706888143

SHELBY BULLOCK (NPI# 1770111668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770111668
Entity Type Individual
Full Name SHELBY BULLOCK
Credential SCHOOL PSYCHOLOGY
Practice Address 3867 Serenity St
Springdale
AR 72764-6521
Practice Telephone 8706888143
Mailing Telephone 8706888143
Enumeration Date 2020-03-28
Last Update Date 2020-03-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
AR Behavioral Health & Social Service Providers

Other Providers SHELBY BULLOCK

NPI Name Taxonomy Address Enumeration
1114579570 Shelby Bullock Behavior Technician 1999 Harrison St Ste 1800, Oakland, CA 94612-4700 2019-07-15

Office Location

Street Address 3867 SERENITY ST
City SPRINGDALE
State AR
Zip Code 72764-6521

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851903884 Conway County Community Service Inc. Community/Behavioral Health 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 2020-08-20
1316592801 Above and Beyond Pediatric Therapy, Inc Speech-Language Pathologist 2700 American St., Ste B, Springdale, AR 72764 2019-08-02
1053871061 Specialized Hearing Instruments, Inc. Audiologist-Hearing Aid Fitter 958 S. West End St., Springdale, AR 72764 2019-03-25
1801385976 Taylor Beauregard Kelamis Nurse Practitioner Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 2018-05-04
1649726878 Ember Estelle Lanuti Brown Speech-Language Pathologist 4209 Navajo Court, Springdale, AR 72764 2016-08-28
1568838241 Elayna Wells Speech-Language Pathologist 900 S Powell Street, Springdale, AR 72764 2015-08-17
1184003261 Okeyo Oghina Nurse Practitioner 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 2015-05-22
1235524869 William M Rogers Family Medicine 513 N. Shiloh Street, Springdale, AR 72764 2015-03-31
1336498872 Kelly Meeann Miller Speech-Language Pathologist 105 S Blair Street, Springdale, AR 72764 2012-08-30
1902183874 Cristy Hoffman Physical Therapy Assistant 2837 American St Ste A, Springdale, AR 72764 2011-11-07
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922437359 Crystal Dorn Psychologist 2511 Lemontree Ln, Springdale, MD 20774-7537 2013-11-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467059824 Logan Sheets Psychologist 370 N Drewrys Bluff Dr, Fayetteville, AR 72704-7103 2020-10-07
1275970675 Lisa Pollard Psychologist 6406 Timber Ridge Dr, Rogers, AR 72758-8088 2013-05-27
1700176542 Ida Linda Trice Psychologist 122 Rose, Berryville, AR 72616 2011-04-13
1073815502 Jason Robert Bell Psychologist 2518 Silver Maple Dr, Little Rock, AR 72210-5658 2010-12-05
1700017498 Jennifer Brooke Hennessey Psychologist 611 Court St Ste 1, Conway, AR 72032-5417 2009-07-29
1942427562 City of Charleston Supt of Schools District 9 Psychologist 125 West Main Street, Charleston, AR 72933 2007-04-18
1114525284 Kyla Warnick Psychologist 220 W 10th St, Russellville, AR 72801-6034 2020-10-12
1013408137 Mara Elizabeth Wood Psychologist 204 S 24th St, Rogers, AR 72758-1129 2018-05-24
1760907091 Micah Baker Psychologist 1601 S Rainbow Rd, Rogers, AR 72758 2017-08-08
1760835524 David Blair Psychologist 3307 N Dixieland Rd, Rogers, AR 72756-6816 2016-07-18
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Competitor

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City SPRINGDALE
Zip Code 72764

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Dataset Information

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.

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