Blooming Minds, INC
NPI #1609253277 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1609253277
- Entity Type
- Organization
- Organization Name
- Blooming Minds, INC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 2, 2015
- Last Updated
- Oct 16, 2015
Practice Location
- Address
- 1034 N 3RD ST
- Address 2
- SUITE 5B
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-3145
- Phone
- (208) 713-3463
Authorized Official
- Name
- CRISTINA C STILES, SLP, MS, CCC-SLP
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (208) 713-3463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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