Wendy Jones Pulliam, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Victoria, VA
NPI 1710102256 · NPPES record last updated Apr 3, 2013
Key facts
- NPI
- 1710102256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202005151 (VA)
- Practice address
- 2027 8TH St
Victoria, VA 23974-4506 - Phone
- (434) 395-2972
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202005151 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longwood University | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202005151 | VA | Yes |
Addresses
Primary practice location
2027 8TH St
Victoria, VA 23974-4506
Mailing address
2027 8TH St
PO Box 961
Victoria, VA 23974-4506
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004979907 | Medicaid | VA |
Other providers in Victoria, VA
- Pamela Owens
- Nellie Parrish
- Amy Parsons
- Ashley Pollard
- Troy West Pulliam
- Jordan Rafferty
- Shannon Rakes
- Zhara Sawyer
- Southern Dominion Health System Inc
- Southern Dominion Health System, Inc.
All providers in Victoria, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.