Brittany Jo Bullock, MS, CCC-SLP
NPI 1053166074ActiveIndividual· Speech-Language Pathologist· Lebanon, NH
Speech-Language Pathologist (MS, CCC-SLP) in Lebanon, New Hampshire, licensed in NH and MA, with an NPI issued in April 2024. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1053166074 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, CCC-SLP |
| Sole proprietor | No |
| NPI issued | Apr 22, 2024 |
| Last updated in NPPES | Apr 30, 2024 |
| Certified by provider | Apr 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 1801 | NH |
| Speech-Language Pathologist | 235Z00000X | 100923 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MA) |
|---|
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