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DR. RENEE MONIQUE BULLOCK PSYD NPI 1043908759


NPI Information

NPI: 1043908759
Provider Name: DR. RENEE MONIQUE BULLOCK, PSYD
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
9720 CAPITAL CT STE 303
MANASSAS, VA
ZIP 20110
Phone: (703) 881-0121
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DR. Renee Monique Bullock, PSYD is a mental health counselor in Manassas, VA. DR. Renee Monique Bullock, PSYD NPI is 1043908759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9720 CAPITAL CT STE 303
MANASSAS, VA
ZIP 20110-051
Phone: (703) 881-0121

The enumeration date for this NPI number is 5/1/2023 and was last updated on 5/1/2023.


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
1101YM0800XCounselorMental Health0704015690VIRGINIAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.