Bloom Speech Therapy Services, LLC
NPI #1225800105 in Farmington, Missouri
Provider Information
- NPI Number
- 1225800105
- Entity Type
- Organization
- Organization Name
- Bloom Speech Therapy Services, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Oct 24, 2023
- Last Updated
- Oct 24, 2023
Practice Location
- Address
- 200 W 1ST ST STE 101
- City
- Farmington
- State
- Missouri
- ZIP Code
- 63640-2521
- Phone
- (573) 327-1510
Authorized Official
- Name
- NANCY DIANA SMITH, MA, CCC-SLP
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (573) 327-1510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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