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Search › Pennsylvania › 1041C0700X

Jefferson Bullard, LCSW

NPI 1760908586 · on the registry since 2017

Practice

Address
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone
(267) 738-6526
Fax
(215) 563-0748
Organisation at this address
Childrens Health Care Associates
Children'S Health Care Associates
Childrens Health Care Associate'S
Children'S Health Care Associates
Children'S Surgical Associates Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,470

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania