BEVERLY BULLOCK, LCSW

Social Worker - Clinical

Active Individual
NPI: 1558356857

Practice Address

3300 ACADEMY AVE
ACADEMY CROSSING MEDICAL PLAZA
Portsmouth, VA 23703

Phone: (757) 483-6404

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 0904000619 (VA)

Frequently Asked Questions

NPI 1558356857 is the National Provider Identifier for BEVERLY BULLOCK, LCSW, a Social Worker - Clinical provider located in Portsmouth, VA. This NPI was enumerated on September 13, 2005.
BEVERLY BULLOCK, LCSW practices at 3300 ACADEMY AVE, ACADEMY CROSSING MEDICAL PLAZA, Portsmouth, VA 23703.

Quick Facts

NPI
1558356857
Type
Individual
Enumerated
Sep 13, 2005
Last Updated
Jul 8, 2007

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