Leslie Ellen Bullock in Fresno - Clinical
Leslie Ellen Bullock - NPI 1063545978
Leslie Ellen Bullock is a Clinical in Fresno, California. Leslie Ellen Bullock practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leslie Ellen Bullock is 1063545978. The last update date is 2007-09-28.
Leslie Ellen Bullock's current location address is 5464 N Palm Ave Ste B, Fresno, California. You can contact this provider via phone number 5599080925. The mailing address for Leslie Ellen Bullock is 5464 N Palm Ave Ste B, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Ellen Bullock |
|---|---|
| Address | 5464 N Palm Ave Ste B, Fresno, California |
| Phone Number | 5599080925 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1063545978 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-09-28 |
Provider Mailing Address Detail
| Address | 5464 N Palm Ave Ste B |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937041946 |
| Phone Number | 5599080925 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 23296 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the Leslie Ellen Bullock's unique identification number?
The Leslie Ellen Bullock has been assigned the NPI (National Provider Identifier) Number 1063545978 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Leslie Ellen Bullock?
The Leslie Ellen Bullock is physically situated at 5464 N Palm Ave Ste B, in the city of Fresno, state of CA, with the postal code 937041946.
What is Leslie Ellen Bullock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leslie Ellen Bullock's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Leslie Ellen Bullock receive the assignment of its 1063545978 from the Centers for Medicare & Medicaid Services?
The Leslie Ellen Bullock was issued its 1063545978 by the Centers for Medicare & Medicaid Services on 2007-03-13.
As of what date was the information pertaining to Leslie Ellen Bullock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Leslie Ellen Bullock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-28.