Provider Demographics
NPI:1316143910
Name:BULLARD, ERIN (MT-BC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:BULLARD
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HILLTOP RD
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1369
Mailing Address - Country:US
Mailing Address - Phone:215-680-1872
Mailing Address - Fax:215-862-2586
Practice Address - Street 1:105 HILLTOP RD
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-1369
Practice Address - Country:US
Practice Address - Phone:215-680-1872
Practice Address - Fax:215-862-2586
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist