JUSTIN BULLOCK NPI 1083274161

NPI Information

NPI: 1083274161
Provider Name: JUSTIN BULLOCK
Classification: Counselor - 101YS0200X
Entity Type: Individual

Specialization: School

Address:
1420 WALNUT ST STE 1350
PHILADELPHIA, PA
ZIP 19102
Phone: (215) 664-3200
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Justin Bullock is a school counselor in Philadelphia, PA. Justin Bullock NPI is 1083274161. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1420 WALNUT ST STE 1350
PHILADELPHIA, PA
ZIP 19102-019
Phone: (215) 664-3200

The enumeration date for this NPI number is 6/19/2019 and was last updated on 6/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YS0200X	Counselor	School			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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