Full Bloom Speech Language Pathology
NPI #1225877293 in Cornelius, North Carolina
Provider Information
- NPI Number
- 1225877293
- Entity Type
- Organization
- Organization Name
- Full Bloom Speech Language Pathology
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 21, 2024
- Last Updated
- May 21, 2024
Practice Location
- Address
- 17111 KENTON DR STE 206B
- City
- Cornelius
- State
- North Carolina
- ZIP Code
- 28031-5650
- Phone
- (937) 369-6613
Authorized Official
- Name
- MRS. AMY LYNN ELDER, MA, SLP
- Title
- SPEECH LANGUAGE PATHOLOGIST
- Phone
- (937) 369-6613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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