Jessica Bull, ST
Individual provider Active NPI Speech-Language Pathologist · Devon, PA
NPI 1376949651 · NPPES record last updated Nov 13, 2014
Key facts
- NPI
- 1376949651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL011560 (PA)
- Practice address
- 445 N Valley Forge Rd Ste 118
Devon, PA 19333-1239 - Phone
- (877) 407-3422
- NPI assigned
- Nov 13, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services Inc
Practice addresses (Care Compare)
1122 Hwy 315 Blvd
Wilkes Barre, PA 18702-6943
Phone (877) 407-3422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150202000736 | PA | Practitioner - Qualified Speech Language Pathologist | 8325363922 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL011560 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
445 N Valley Forge Rd
Ste 118
Devon, PA 19333
Phone (484) 888-4934
470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800
1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL011560 | PA | Yes |
Addresses
Primary practice location
445 N Valley Forge Rd Ste 118
Devon, PA 19333-1239
Mailing address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Other providers in Devon, PA
- Jason Brodo
- Sara E Brown del Pozo
- Badia Brown
- Stacey Ilyse Brown
- Rachel Brudzinski
- Jill Marie Burns
- Chris Burritt
- Melissa Eileen Butler
- Marisella Campos-Smith
- Lori Cardinale
All providers in Devon, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.