IndividualActive
Shane Bullock
NPI 1033465950 · Social Worker · Salt Lake City, UT
Shane Bullock is a Social Worker provider in Salt Lake City, UT (NPI 1033465950).
Provider details
- NPI number
- 1033465950
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
5456 Arches Dr
Salt Lake City, UT 84129-1704
Phone: (801) 815-2833
Street-level locationGet directions
Mailing address
5456 Arches Dr
Salt Lake City, UT 84129-1704
Registry dates
- Enumerated
- 2012-07-29
- Last updated
- 2012-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.